SDOH Clinical Care
1.1.0 - STU 2 ballot

This page is part of the SDOH Clinical Care for Multiple Domains (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: SDOHCC Condition

Defining URL:http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition
Version:1.1.0
Name:SDOHCCCondition
Title:SDOHCC Condition
Status:Draft as of 12/14/20 4:01 AM
Definition:

Profile for Social Determinants of Health (SDOH) conditions.

Publisher:HL7 International - Patient Care WG
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition

Formal Views of Profile Content

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

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about SDOH conditions, problems or diagnoses
SDOH-Con-1: Can only have a max of one asserter.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-Condition.asserter SI0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter"
.... value[x] 0..1Reference(Device)Value of extension
... verificationStatus 0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... category:SDOH 0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.

... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: US Core Condition Code (required)
... bodySite 0..0
... subject 1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] S0..1Estimated dateTime or Period
.... onsetDateTimedateTime
.... onsetPeriodPeriod
... abatement[x] S0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementPeriodPeriod
... recorder 0..1Reference(Practitioner | PractitionerRole)Who recorded the condition
... asserter SI0..1Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)Person or device that asserts this condition
... stage 0..0
... evidence S0..*BackboneElementSupporting evidence
.... code 0..*CodeableConceptManifestation/symptom
.... Slices for detail 0..*Reference(Resource)Supporting information found elsewhere
Slice: Unordered, Open by profile:resolve()
..... detail:SupportedDetail S0..*Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment)Supporting information found elsewhere

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about SDOH conditions, problems or diagnoses
SDOH-Con-1: Can only have a max of one asserter.
... id Σ0..1stringLogical 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
... extension-Condition.asserter SI0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter"
.... value[x] 0..1Reference(Device)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Slice: Unordered, Open by value:$this
Binding: US Core Condition Category Codes (extensible)
.... category:SDOH SI0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... 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..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: US Core Condition Code (required)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated dateTime or Period
.... onsetDateTimedateTime
.... onsetPeriodPeriod
... abatement[x] SI0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementPeriodPeriod
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole)Who recorded the condition
... asserter SΣI0..1Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)Person or device that asserts this condition
... evidence SI0..*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 ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... Slices for detail ΣI0..*Reference(Resource)Supporting information found elsewhere
Slice: Unordered, Open by profile:resolve()
..... detail:SupportedDetail SΣI0..*Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about SDOH conditions, problems or diagnoses
SDOH-Con-1: Can only have a max of one asserter.
... extension-Condition.asserter I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter
... clinicalStatus ?!ΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!ΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
.... category:SDOH I0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: US Core Condition Code (required)
... subject Σ1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] Σ0..1Estimated dateTime or Period
.... onsetDateTimedateTime
.... onsetPeriodPeriod
... abatement[x] I0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementPeriodPeriod
... asserter ΣI0..1Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)Person or device that asserts this condition
... evidence I0..*BackboneElementSupporting evidence
.... detail:SupportedDetail ΣI0..*Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment)Supporting information found elsewhere

doco Documentation for this format

Differential View

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about SDOH conditions, problems or diagnoses
SDOH-Con-1: Can only have a max of one asserter.
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension-Condition.asserter SI0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter"
.... value[x] 0..1Reference(Device)Value of extension
... verificationStatus 0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... category:SDOH 0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.

... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: US Core Condition Code (required)
... bodySite 0..0
... subject 1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] S0..1Estimated dateTime or Period
.... onsetDateTimedateTime
.... onsetPeriodPeriod
... abatement[x] S0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementPeriodPeriod
... recorder 0..1Reference(Practitioner | PractitionerRole)Who recorded the condition
... asserter SI0..1Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)Person or device that asserts this condition
... stage 0..0
... evidence S0..*BackboneElementSupporting evidence
.... code 0..*CodeableConceptManifestation/symptom
.... Slices for detail 0..*Reference(Resource)Supporting information found elsewhere
Slice: Unordered, Open by profile:resolve()
..... detail:SupportedDetail S0..*Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment)Supporting information found elsewhere

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about SDOH conditions, problems or diagnoses
SDOH-Con-1: Can only have a max of one asserter.
... id Σ0..1stringLogical 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
... extension-Condition.asserter SI0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter"
.... value[x] 0..1Reference(Device)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Slice: Unordered, Open by value:$this
Binding: US Core Condition Category Codes (extensible)
.... category:SDOH SI0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... 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..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: US Core Condition Code (required)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated dateTime or Period
.... onsetDateTimedateTime
.... onsetPeriodPeriod
... abatement[x] SI0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementPeriodPeriod
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole)Who recorded the condition
... asserter SΣI0..1Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)Person or device that asserts this condition
... evidence SI0..*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 ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... Slices for detail ΣI0..*Reference(Resource)Supporting information found elsewhere
Slice: Unordered, Open by profile:resolve()
..... detail:SupportedDetail SΣI0..*Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleUSCoreConditionCategoryCodes
Condition.category:SDOHrequiredSDOHCCValueSetSDOHCategory
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.coderequiredUSCoreConditionCode
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdPathDetailsRequirements
con-3ConditionCondition.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-4ConditionIf 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-5ConditionCondition.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-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ConditionIf 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-4ConditionIf 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-5ConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ConditionA resource should have narrative for robust management
: text.`div`.exists()
us-core-1ConditionA 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()
SDOH-Con-1ConditionCan only have a max of one asserter.
: extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.asserter').count()+asserter.count()<=1
ele-1Condition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:AsserterDeviceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extension:AsserterDeviceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:AsserterDevice.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extension:AsserterDevice.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:AsserterDevice.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.clinicalStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.verificationStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.category:SDOHAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.severityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.onset[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.abatement[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.recordedDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.asserterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.stage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.stage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stage.summaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.assessmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.evidence.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.evidence.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.evidence.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.evidence.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:SupportedDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())