| OncologyCardData (Condition) | I | | Condition | Element idShort description Detailed information about conditions, problems or diagnoses Definition A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Condition Constraints- dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty() - dom-4: 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: 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty() - dom-6: A resource should have narrative for robust management
text.`div`.exists() - dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty() - con-5: 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() - con-4: 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-3: Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item
verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not() - OncologyCardData-con-1: Card status value (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus) can only be: 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected
extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6$') - OncologyCardData-con-2: If a card status is revoked (or rejected) , (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card revoke (or rejection) reason (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason) is mandatory
iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3$|^6$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists() , true) - OncologyCardData-con-3: If a revoke reason (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus.value[x].coding.code with code 3 - Cancelled) is provided, then revoke date (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusDate.value[x]) is mandatory (and vice versa)
iif(meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$') and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1').value.exists(), true) - OncologyCardData-con-4: If a deregistration reason (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationReason.value[x].coding.code) is provided, then deregistration date (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationDate.value[x]) is mandatory (and vice versa)
iif((extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists()), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists(), true) - OncologyCardData-con-5: The card revoke date (Profile: Condition/OncologyCardData, Field: Condition.extension:cardCancellationDate) must be less than or equal to sysdate
iif(meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$') and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1').value.toDate() <= today(), true) - OncologyCardData-con-6: If a card status is 3-Revoked (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card revoke coding system (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason.value[x].coding:cardRevokeReason) must be '1.3.6.1.4.1.38760.2.603'
iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.coding.system.matches('1.3.6.1.4.1.38760.2.603'), true) - OncologyCardData-con-7: If a card status is 6-Rejected (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card rejection coding system (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason.value[x].coding:cardRejectionReason) must be '1.3.6.1.4.1.38760.2.644'
iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^6$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.coding.system.exists(matches('1.3.6.1.4.1.38760.2.644')), true) - OncologyCardData-con-8: External systems cannot set the Oncology card number (Profile: Condition/OncologyCardData, Field: Condition.identifier.value with code 'ONCOLOGY_CARD_NUMBER')
iif(identifier.where(type.coding.code='ONCOLOGY_CARD_NUMBER').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$'), true) - OncologyCardData-con-9: External systems cannot set the Patient tumor number (Profile: Condition/OncologyCardData, Field: Condition.identifier.value with code 'PATIENT_TUMOR_NUMBER')
iif(identifier.where(type.coding.code='PATIENT_TUMOR_NUMBER').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$'), true) - OncologyCardData-con-10: External systems cannot set the Deregistration reason (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationReason.value[x].coding:deregistrationReason.code) or Deregistration date (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationDate.value[x])
iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$'), true) - OncologyCardData-con-11: External systems cannot set card statuses: 5 – Approved, 6 – Rejected (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus.value[x].coding.code)
iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^5$|^6$'), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO$'), true)
- rim: Entity. Role, or Act
- workflow: Event
- sct-concept: < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
- v2: PPR message
- rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
- w5: clinical.general
|
| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idShort description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
id |
| meta | Σ I | 0..1 | OncologyMeta | Element idShort description Metadata about a resource Definition The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
OncologyMeta Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - Meta-con-1: Data enterer medical person role (Profile: Meta/OnkoMeta, Field: Meta.tag with id "entererMedicalPersonRole") or data enterer person iId (Profile: Meta/OnkoMeta, Field: Meta.tag with id "entererPersonId") must be provided
tag.where(id='entererMedicalPersonRole').exists() or tag.where(id='entererPersonId').exists()
|
| implicitRules | Σ ?! | 0..0 | uri | There are no (further) constraints on this element Element idShort description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
uri Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| language | | 0..0 | codeBinding | There are no (further) constraints on this element Element idShort description Language of the resource content Definition The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
code Binding CommonLanguages (preferred)Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| text | | 0..0 | Narrative | There are no (further) constraints on this element Element idShort description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Narrative Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- rim: N/A
- rim: Act.text?
|
| contained | I | 0..0 | Resource | There are no (further) constraints on this element Element idShort description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Resource Constraints- dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
- rim: Entity. Role, or Act
- rim: N/A
|
| extension | I | 1..5 | Extension | Element idShort description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Closed, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
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| cardStatus | I | 1..1 | Extension(CodeableConcept) | Element idCondition.extension:cardStatus Status of the Oncology card in the register | Kartes statuss reģistrā Alternate names extensions, user content Definition Optional Extension Element - found in all resources.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension(CodeableConcept) Extension URL https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1 Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
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| cardStatusDate | I | 0..1 | Extension(dateTime) | Element idCondition.extension:cardStatusDate Card status date | Datums, kad kartei uzstādīts statuss Alternate names extensions, user content Definition Optional Extension Element - found in all resources.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension(dateTime) Extension URL https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1 Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| cardStatusReason | I | 0..1 | Extension(CodeableConcept) | Element idCondition.extension:cardStatusReason Card status reason | Kartes statusa maiņas iemesls Alternate names extensions, user content Definition Optional Extension Element - found in all resources.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension(CodeableConcept) Extension URL https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1 Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| deregistrationDate | I | 0..1 | Extension(date) | Element idCondition.extension:deregistrationDate Deregistration date | Noņemšanas no uzskaites datums Alternate names extensions, user content Definition Optional Extension Element - found in all resources.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension(date) Extension URL https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1 Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| deregistrationReason | I | 0..1 | Extension(CodeableConcept) | Element idCondition.extension:deregistrationReason Deregistration reason | Noņemšanas no uzskaites iemesls Alternate names extensions, user content Definition Optional Extension Element - found in all resources.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension(CodeableConcept) Extension URL https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1 Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
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| modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtension Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
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| identifier | Σ | 1..* | OncologyIdentifier | Element idShort description External Identifier | Ārējās sistēmas ieraksta ID Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
OncologyIdentifier Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
- rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
- servd: Identifier
- workflow: Event.identifier
- w5: FiveWs.identifier
- rim: .id
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| id | | 0..0 | id | There are no (further) constraints on this element Element idShort description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
id Mappings |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extension Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idShort description usual | official | temp | secondary | old (If known) Definition The purpose of this identifier.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
code Binding IdentifierUse (required) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: N/A
- rim: Role.code or implied by context
|
| type | Σ | 1..1 | CodeableConceptBinding | Element idCondition.identifier.type OncologyCardData identifier classification | OncologyCardData identifikatoru klasifikators Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Allows users to make use of identifiers when the identifier system is not known.
This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
CodeableConcept Binding Identifier Type Codes (extensible) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- v2: CX.5
- rim: Role.code or implied by context
|
| id | | 0..1 | id | There are no (further) constraints on this element Element idCondition.identifier.type.id Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
id Mappings |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.type.extension Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.identifier.type.coding Code defined by a terminology system Definition A reference to a code defined by a terminology system.
Allows for alternative encodings within a code system, and translations to other code systems.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Coding Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
- rim: CV
- orim: fhir:Coding rdfs:subClassOf dt:CDCoding
- v2: C*E.1-8, C*E.10-22
- rim: union(., ./translation)
- orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
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| id | | 0..1 | id | There are no (further) constraints on this element Element idCondition.identifier.type.coding.id Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
id Mappings |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.type.coding.extension Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idCondition.identifier.type.coding.system FHIR OncologyCardData Profile Identifier Classifier | FHIR OncologyCardData profila identifikatoru klasifikators Definition The identification of the code system that defines the meaning of the symbol in the code.
Need to be unambiguous about the source of the definition of the symbol.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
uri Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.646 - rim: n/a
- v2: C*E.3
- rim: ./codeSystem
- orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
|
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.type.coding.version Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: C*E.7
- rim: ./codeSystemVersion
- orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
|
| code | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.type.coding.code Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
Note that FHIR strings SHALL NOT exceed 1MB in size
code Binding FHIR OncologyCardData Profile Identifier Classifier code | FHIR OncologyCardData profila identifikatoru klasifikatora kods
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: C*E.1
- rim: ./code
- orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.type.coding.display Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Note that FHIR strings SHALL NOT exceed 1MB in size
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: C*E.2 - but note this is not well followed
- rim: CV.displayName
- orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
|
| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.identifier.type.coding.userSelected If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
boolean Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: Sometimes implied by being first
- rim: CD.codingRationale
- orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
|
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.type.text Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Very often the text is the same as a displayName of one of the codings.
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: C*E.9. But note many systems use C*E.2 for this
- rim: ./originalText[mediaType/code="text/plain"]/data
- orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
|
| system | Σ | 0..0 | uri | There are no (further) constraints on this element Element idCondition.identifier.system The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Identifier.system is always case sensitive.
uri Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
Generalhttp://www.acme.com/identifiers/patient
Mappings- rim: n/a
- v2: CX.4 / EI-2-4
- rim: II.root or Role.id.root
- servd: ./IdentifierType
|
| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.identifier.value The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system.
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
Mappings- rim: n/a
- v2: CX.1 / EI.1
- rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
- servd: ./Value
|
| period | Σ I | 0..0 | Period | There are no (further) constraints on this element Element idCondition.identifier.period Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use.
A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").
Period is not used for a duration (a measure of elapsed time). See Duration.
Period Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)
- rim: n/a
- v2: DR
- rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
- v2: CX.7 + CX.8
- rim: Role.effectiveTime or implied by context
- servd: ./StartDate and ./EndDate
|
| assigner | Σ I | 1..1 | Reference(https://vvis.gov.lv/fhir/StructureDefinition/Organization) | Element idCondition.identifier.assigner Organization that issued id (may be just text) Definition Organization that issued/manages the identifier.
The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Reference(https://vvis.gov.lv/fhir/StructureDefinition/Organization) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource)
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- v2: CX.4 / (CX.4,CX.9,CX.10)
- rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
- servd: ./IdentifierIssuingAuthority
|
| clinicalStatus | Σ ?! I | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idShort description active | recurrence | relapse | inactive | remission | resolved Definition The clinical status of the condition.
The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
CodeableConcept Binding The clinical status of the condition or diagnosis.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- workflow: Event.status
- w5: FiveWs.status
- sct-concept: < 303105007 |Disease phases|
- v2: PRB-14
- rim: Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
|
| verificationStatus | Σ ?! I | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.verificationStatus unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Definition The verification status to support the clinical status of the condition.
verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.
The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
CodeableConcept Binding The verification status to support or decline the clinical status of the condition or diagnosis.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- workflow: Event.status
- w5: FiveWs.status
- sct-concept: < 410514004 |Finding context value|
- v2: PRB-13
- rim: Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
- sct-attr: 408729009
|
| category | | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idShort description problem-list-item | encounter-diagnosis Definition A category assigned to the condition.
The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
CodeableConcept Binding A category assigned to the condition.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- w5: FiveWs.class
- sct-concept: < 404684003 |Clinical finding|
- v2: 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
- rim: .code
|
| severity | | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idShort description Subjective severity of condition Definition A subjective assessment of the severity of the condition as evaluated by the clinician.
Coding of the severity with a terminology is preferred, where possible.
CodeableConcept Binding A subjective assessment of the severity of the condition as evaluated by the clinician.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- w5: FiveWs.grade
- sct-concept: < 272141005 |Severities|
- v2: PRB-26 / ABS-3
- rim: Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
- sct-attr: 246112005
|
| code | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idShort description Identification of the condition, problem or diagnosis Alternate names type Definition Identification of the condition, problem or diagnosis.
0..1 to account for primarily narrative only resources.
Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
CodeableConcept Binding Identification of the condition or diagnosis.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- workflow: Event.code
- w5: FiveWs.what[x]
- sct-concept: code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|)
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event|
- v2: PRB-3
- rim: .value
- sct-attr: 246090004
|
| bodySite | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idShort description Anatomical location, if relevant Definition The anatomical location where this condition manifests itself.
Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
CodeableConcept Binding SNOMED CT Body site concepts
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CE/CNE/CWE
- rim: CD
- orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
- sct-concept: < 442083009 |Anatomical or acquired body structure|
- rim: .targetBodySiteCode
- sct-attr: 363698007
|
| subject | Σ I | 1..1 | Reference(LVPatient) | Element idShort description Reference to Patient profile | Saite uz Patient profilu Alternate names patient Definition Indicates the patient or group who the condition record is associated with.
Group is typically used for veterinary or public health use cases.
References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Reference(LVPatient) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource)
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.subject
- w5: FiveWs.subject[x]
- v2: PID-3
- rim: .participation[typeCode=SBJ].role[classCode=PAT]
- w5: FiveWs.subject
|
| id | | 0..1 | id | There are no (further) constraints on this element Element idShort description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
id Mappings |
| extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.subject.extension Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()
|
| reference | Σ I | 1..1 | string | There are no (further) constraints on this element Element idCondition.subject.reference Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idShort description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
uri Binding ResourceType (extensible) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idCondition.subject.identifier Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Identifier Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
- rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
- servd: Identifier
- rim: .identifier
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.subject.display Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
string Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| encounter | Σ I | 0..0 | Reference(Encounter) | There are no (further) constraints on this element Element idShort description Encounter created as part of Definition The Encounter during which this Condition was created or to which the creation of this record is tightly associated.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
Reference(Encounter) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource)
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- workflow: Event.context
- w5: FiveWs.context
- v2: PV1-19 (+PV1-54)
- rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
|
| onset[x] | Σ | 0..0 | | There are no (further) constraints on this element Element idShort description Estimated or actual date, date-time, or age Definition Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Age is generally used when the patient reports an age at which the Condition began to occur.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- workflow: Event.occurrence[x]
- w5: FiveWs.init
- v2: PRB-16
- rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
|
| abatement[x] | I | 0..0 | | There are no (further) constraints on this element Element idShort description When in resolution/remission Definition The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.
There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- w5: FiveWs.done[x]
- rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
|
| recordedDate | Σ | 0..0 | dateTime | There are no (further) constraints on this element Element idShort description Date record was first recorded Definition The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
dateTime Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- w5: FiveWs.recorded
- v2: REL-11
- rim: .participation[typeCode=AUT].time
|
| recorder | Σ I | 0..0 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idShort description Who recorded the condition Definition Individual who recorded the record and takes responsibility for its content.
References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource)
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- w5: FiveWs.author
- rim: .participation[typeCode=AUT].role
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| asserter | Σ I | 0..0 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idShort description Person who asserts this condition Definition Individual who is making the condition statement.
References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource)
- rim: n/a
- rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
- w5: FiveWs.source
- v2: REL-7.1 identifier + REL-7.12 type code
- rim: .participation[typeCode=INF].role
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| stage | I | 0..0 | BackboneElement | There are no (further) constraints on this element Element idShort description Stage/grade, usually assessed formally Definition Clinical stage or grade of a condition. May include formal severity assessments.
BackboneElement Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - con-1: Stage SHALL have summary or assessment
summary.exists() or assessment.exists()
- rim: n/a
- rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
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| evidence | I | 0..0 | BackboneElement | Element idShort description Way of revealing the diagnosis | Diagnozes atklāšanas veids Definition Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
BackboneElement Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters - con-2: evidence SHALL have code or details
code.exists() or detail.exists()
- rim: n/a
- rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
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| note | | 0..0 | Annotation | There are no (further) constraints on this element Element idShort description Additional information about the Condition Definition Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
Annotation Constraints- ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource
hasValue() or (children().count() > id.count()) or $this is Parameters
- rim: n/a
- v2: N/A
- rim: Act
- workflow: Event.note
- v2: NTE child of PRB
- rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
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