Slimības pamatdati
Apraksts
Informācija par diagnosticēto slimību, saskaņā ar dažādām slimību klasifikācijas sistēmām.
Slimības pamatdatu apmaiņas nodrošināšanai tiek izmantots FHIR R4B bāzes resurss Condition, uz kura pamata izveidots FHIR profils OncologyBasicDataOfDisease.
Apstrāde
- Iesūtot slimības pamatdatus, ir nepieciešams norādīt onkoloģiskā pacienta slimības karti (FHIR profils OncologyCardData). To norāda caur RelatedConditionExtension extension lauku.
- Iesūtot datus, ir nepieciešams norādīt references uz administratīvajiem profiliem: pacients (
Condition.subject.reference
), ārējās sistēmas piešķirtā ieraksta identifikatora organizācija (Condition.identifier.assigner.reference
). - Iesūtot jaunus slimības pamatdatus, ir jānorāda statuss 2-Iesniegta (
Extension: CardStatusExtension
). Statusa maiņas datumu (Extension: CardStatusDateExtension
) piešķir Vēža pacientu reģistra IS. - Gadījumā, ja slimības pamatdatus ir nepieciešams anulēt, tiem ir nepieciešams uzstādīt statusu 3-Anulēta (
Extension: CardStatusExtension
). Statusa maiņas datumu (Extension: CardStatusDateExtension
) piešķir Vēža pacientu reģistra IS.
Datu lauki
📝
Informācijai: Dažos gadījumos, ja diagnozes noteikšanas valsts ir “Latvija”, laukam var būt paredzēta cita kardinalitāte. Šajos gadījumos tabulā zemāk kolonnā “Kard.” (kardinalitāte) ir pievienoti izņēmuma gadījumi Latvijai, pirms kardinalitātes norādot burtu kombināciju “LV”. Piemēram, “0..1, LV: 1..1” nozīmē – ja diagnozes noteikšanas valsts nav Latvija, tad lauks ir neobligāts, bet, ja diagnozes noteikšanas valsts ir Latvija, tad lauks ir obligāts.
Nr. | Datu lauks | FHIR Lauks | Kard. | FHIR lauka apraksts | Detaļas |
---|---|---|---|---|---|
1 | Slimības SSK-10 kods un nosaukums | Standard: Condition.code.coding Slice: ICD-10-Code |
1..1 | Identification of the condition, problem or diagnosis. | SSK-10 klasifikators: 1.3.6.1.4.1.38760.2.159 |
2 | Retās slimības kods un nosaukums | Standard: Condition.code.coding Slice: ORPHA-Code |
0..N | Identification of the condition, problem or diagnosis. | Retās slimības ORPHA kods: 1.3.6.1.4.1.38760.2.380 |
3 | Bērnu onkoloģiskās slimības kods un nosaukums | Standard: Condition.code.coding Slice: ICCC-Code |
0..1 | Identification of the condition, problem or diagnosis. | Bērnu onkoloģiskās klasifikācija: 1.3.6.1.4.1.38760.2.610 |
4 | Audzēja topogrāfijas kods un nosaukums | Extension: TopographyMorphologyExtension Slice: ICD-O-3-2-Topography |
0..1 LV: 1..1 | SSK-O-3.2. Topogrāfija: 1.3.6.1.4.1.38760.2.608 | |
5 | Audzēja morfoloģijas kods un nosaukums | Extension: TopographyMorphologyExtension Slice: ICD-O-3-2-Morphology |
0..1 | SSK-O-3.2. Morfoloģija: 1.3.6.1.4.1.38760.2.873 | |
6 | Audzēja morfoloģijas kods uz nosaukums SSK-O 2 (Vēsturiskais) | Extension: TopographyMorphologyExtension Slice: ICD-O-2-MorphologyOld |
0..1 | SSK-O-2. Morfoloģija: 1.3.6.1.4.1.38760.2.416 | |
7 | Audzēja diferenciācijas pakāpe | Standard: Condition.evidence Slice: tumorDifferentiationDegree |
0..1 | 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. | Audzēja diferenciācijas pakāpe: 1.3.6.1.4.1.38760.2.609 |
8 | Audzēja lokalizācija pāra orgāniem | Extension: LateralityExtension |
0..1 | Audzēja lokalizācija pāra orgāniem: 1.3.6.1.4.1.38760.2.611 | |
9 | Diagnozes noteikšanas datums | Standard: Condition.onset |
1..1 | Estimated or actual date or date-time the condition began, in the opinion of the clinician | |
10 | Diagnozes pamatošanas veids | Standard: Condition.evidence Slice: diagnosisSubstantiationType |
0..1 LV: 1..1 | 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. | Diagnozes pamatošanas veids: 1.3.6.1.4.1.38760.2.613 |
11 | Diagnozes noteikšanas valsts | Extension: CountryOfDiagnosisExtension | 1..1 | Valstis: 1.3.6.1.4.1.38760.2.7 | |
12 | Diagnozes atklāšanas veids | Standard: Condition.evidence Slice: diagnosisRevealingType |
0..1 LV: 1..1 | A manifestation or symptom that led to the recording of this condition. | Diagnozes atklāšanas veids: 1.3.6.1.4.1.38760.2.606 |
13 | Diagnozes atklāšanas veids (tikai vēsturiskām kartēm līdz 2024.gadam) | Standard: Condition.evidence Slice: diagnosisRevealingTypeOld |
0..1 | 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. | Diagnozes atklāšanas veids: 1.3.6.1.4.1.38760.2.650 |
14 | Diagnozes apstiprināšanas veids (tikai vēsturiskām kartēm līdz 2024.gadam) | Standard: Condition.evidence Slice: diagnosisConfirmationTypeOld |
0..1 | 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. | Diagnozes apstiprināšanas veids: 1.3.6.1.4.1.38760.2.649 |
15 | Vēlīnās onkoloģijas diagnostikas iemesls (tikai vēsturiskām kartēm līdz 2024.gadam) | Standard: Condition.evidence Slice: reasonForLateDiagnosticOld |
0..1 | 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. | Vēlīnās diagnostikas iemesls: 1.3.6.1.4.1.38760.2.225 |
Citi profila obligātie datu lauki:
Nr. | Datu lauks | FHIR Lauks | Kard. | FHIR lauka apraksts | Detaļas |
---|---|---|---|---|---|
16 | Ārējās sistēmas ieraksta ID | Standard: Condition.identifier | 1..1 | External identifier | Tiek izmantots identifikatora tips “EXTERNAL_SYSTEM_IDENTIFIER” |
17 | Atsauce uz pacientu | Standard: Condition.subject | 1..1 | Indicates the patient or group who the condition record is associated with. | Atsauce uz VVIS LV pacienta profilu: https://vvis.gov.lv/fhir/StructureDefinition/Patient/LVPatient |
18 | Atsauce uz Onkoloģijas karti | Extension: RelatedConditionExtension | 1..1 | Sasaista slimības pamatdatus ar slimības karti | |
19 | Slimības pamatdatu statuss | Extension: CardStatusExtension | 1..1 | Slimības pamatdatu statuss var būt tikai 2-Iesniegta, 3-Anulēta, 5-Apstiprināta vai 6-Noraidīta | |
20 | Slimības pamatdatu statusa datums | Extension: CardStatusDateExtension | 1..1 | Datums, kad attiecīgais statuss kartei ir piešķirts. Datumu nav nepieciešams iesūtīt, to automātiski piešķir Vēža pacientu reģistra IS |
Profila struktūra
OncologyBasicDataOfDisease (Condition) | I | Condition | Element idCondition Detailed information about conditions, problems or diagnoses DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
| |
id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCondition.id Logical id of this artifact DefinitionThe 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. |
meta | Σ I | 0..1 | OncologyMeta | Element idCondition.meta Metadata about a resource DefinitionThe 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.
|
implicitRules | Σ ?! | 0..0 | uri | There are no (further) constraints on this element Element idCondition.implicitRules A set of rules under which this content was created DefinitionA 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.
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language | 0..0 | codeBinding | There are no (further) constraints on this element Element idCondition.language Language of the resource content DefinitionThe 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). IETF language tag
| |
text | 0..0 | Narrative | There are no (further) constraints on this element Element idCondition.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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.
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contained | I | 0..0 | Resource | There are no (further) constraints on this element Element idCondition.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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.
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extension | I | 3..6 | Extension | Element idCondition.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Closed, by url(Value) Extensions are always sliced by (at least) url Constraints
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laterality | I | 0..1 | Extension(CodeableConcept) | Element idCondition.extension:laterality Tumor localization in paired organs | Audzēja lokalizācija pāra orgāniem Alternate namesextensions, user content DefinitionOptional 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. https://onko.vvis.gov.lv/fhir/StructureDefinition/LateralityExtension-v1 Constraints
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topographyMorphology | I | 0..1 | Extension(CodeableConcept) | Element idCondition.extension:topographyMorphology ICD-O-3.2. Topography and Morphology codes | SSK-O-3.2. Topogrāfijas un Morfoloģijas kodi Alternate namesextensions, user content DefinitionOptional 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. https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1 Constraints
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1
| |
value[x] | 1..1 | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
| ||
valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
id | 0..1 | id | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..3 | Coding | Element idCondition.extension:topographyMorphology.value[x].coding Code defined by a terminology system DefinitionA 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. Unordered, Open, by $this(Type) Constraints
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ICD-O-3-2-Topography | Σ I | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.system ICD-O-3.2. Topography classifier | SSK-O-3.2. Topogrāfijas klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.code ICD-O-3.2. Topography classifier code | SSK-O-3.2. Topogrāfijas klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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ICD-O-3-2-Morphology | Σ I | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.system ICD-O-3.2. Morphology classifier | SSK-O-3.2. Morfoloģijas klasifikators DefinitionICD-O-3.2. Morphology classifier | SSK-O-3.2. Morfoloģijas klasifikators 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.873
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.code ICD-O-3.2. Morphology classifier code | SSK-O-3.2. Morfoloģijas klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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ICD-O-2-MorphologyOld | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.system ICD-O-2 Morphology classifier old | SSK-O-2 Morfoloģijas klasifikators vēsturiskais DefinitionICD-O-2 Morphology classifier old | SSK-O-2 Morfoloģijas klasifikators vēsturiskais 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.416
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.code ICD-O-2 Morphology classifier code old | SSK-O-2 Morfoloģijas klasifikatora kods vēsturiskais DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].coding:ICD-O-2-MorphologyOld.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.extension:topographyMorphology.value[x].text Plain text representation of the concept DefinitionA 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.
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relatedOncologyCard | I | 1..1 | Extension(Reference(Condition)) | Element idCondition.extension:relatedOncologyCard Related Condition profile | Saistītāis Condition profils Alternate namesextensions, user content DefinitionOptional 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(Reference(Condition)) Extension URLhttps://onko.vvis.gov.lv/fhir/StructureDefinition/RelatedConditionExtension-v1 Constraints
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countryOfDiagnosis | I | 1..1 | Extension(CodeableConcept) | Element idCondition.extension:countryOfDiagnosis Country of diagnosis | Diagnozes noteikšanas valsts Alternate namesextensions, user content DefinitionOptional 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. https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1 Constraints
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cardStatusExtension | I | 1..1 | Extension(CodeableConcept) | Element idCondition.extension:cardStatusExtension Status of the Oncology card in the register | Kartes statuss reģistrā Alternate namesextensions, user content DefinitionOptional 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. https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1 Constraints
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cardStatusDateExtension | I | 0..1 | Extension(dateTime) | Element idCondition.extension:cardStatusDateExtension Card status date | Datums, kad kartei uzstādīts statuss Alternate namesextensions, user content DefinitionOptional 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. https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1 Constraints
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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 namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | Σ | 1..* | OncologyIdentifier | Element idCondition.identifier External Identifier | Ārējās sistēmas ieraksta ID DefinitionAn 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.
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id | 0..0 | id | There are no (further) constraints on this element Element idCondition.identifier.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.use usual | official | temp | secondary | old (If known) DefinitionThe 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.
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type | Σ | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.type Description of identifier DefinitionA 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. Identifier Type Codes (extensible) Constraints
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.identifier.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.identifier.type.coding Code defined by a terminology system DefinitionA 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.
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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 DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.type.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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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 DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.646
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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 DefinitionThe 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.
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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 DefinitionA 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 FHIR OncologyCardData Profile Identifier Classifier code | FHIR OncologyCardData profila identifikatoru klasifikatora kods
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.type.coding.display Representation defined by the system DefinitionA 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
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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 DefinitionIndicates 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.type.text Plain text representation of the concept DefinitionA 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.
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system | Σ | 0..0 | uri | There are no (further) constraints on this element Element idCondition.identifier.system The namespace for the identifier value DefinitionEstablishes 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.
General http://www.acme.com/identifiers/patient Mappings
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.identifier.value The value that is unique DefinitionThe 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.
General 123456 Mappings
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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 DefinitionTime 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.
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assigner | Σ I | 1..1 | Reference(MedicalInstitution) | There are no (further) constraints on this element Element idCondition.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization 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.
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clinicalStatus | Σ ?! I | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.clinicalStatus active | recurrence | relapse | inactive | remission | resolved DefinitionThe 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. The clinical status of the condition or diagnosis.
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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 DefinitionThe 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. The verification status to support or decline the clinical status of the condition or diagnosis.
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category | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.category problem-list-item | encounter-diagnosis DefinitionA category assigned to the condition. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. A category assigned to the condition.
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severity | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.severity Subjective severity of condition DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician. Coding of the severity with a terminology is preferred, where possible. A subjective assessment of the severity of the condition as evaluated by the clinician.
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code | Σ I | 0..1 | CodeableConcept | Element idCondition.code ICD-10 code, ORPHA code or ICCC classification code | SSK-10 kods, retās slimības ORPHA kods vai bērnu onkoloģiskās klasifikācijas kods Alternate namestype DefinitionIdentification 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. Identification of the condition or diagnosis.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..* | Coding | Element idCondition.code.coding Code defined by a terminology system DefinitionA 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. Unordered, Open, by system(Value) Constraints
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ICD-10-Code | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:ICD-10-Code.system ICD-10 classifier | SSK-10 klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.code.coding:ICD-10-Code.code ICD-10 classifier code | SSK-10 klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:ICD-10-Code.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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ORPHA-Code | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:ORPHA-Code.system ORPHA classifier | Retās slimības (ORPHA) klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.380
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.code.coding:ORPHA-Code.code ORPHA classifier code | Retās slimības (ORPHA) klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:ORPHA-Code.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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ICCC-Code | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:ICCC-Code.system ICCC – International Classification of Childhood Cancer classifier | Bērnu vecumposma vēžu klasifikācijas klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.610
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.code.coding:ICCC-Code.code ICCC – International Classification of Childhood Cancer code | Bērnu vecumposma vēžu klasifikācijas klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:ICCC-Code.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.text Plain text representation of the concept DefinitionA 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.
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bodySite | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySite Anatomical location, if relevant DefinitionThe 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. SNOMED CT Body site concepts
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subject | Σ I | 1..1 | Reference(LVPatient) | Element idCondition.subject Who has the condition? Alternate namespatient DefinitionIndicates 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.subject.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.subject.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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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 DefinitionA 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.
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type | Σ | 1..1 | uriBinding | There are no (further) constraints on this element Element idCondition.subject.type Type the reference refers to (e.g. "Patient") DefinitionThe 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.
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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 DefinitionAn 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).
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.subject.display Text alternative for the resource DefinitionPlain 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.
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encounter | Σ I | 0..0 | Reference(Encounter) | There are no (further) constraints on this element Element idCondition.encounter Encounter created as part of DefinitionThe 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".
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onset[x] | S Σ I | 1..1 | Element idCondition.onset[x] Date of diagnosis | Diagnozes noteikšanas datums DefinitionEstimated 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.
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onsetDateTime | dateTime | Data type | ||
abatement[x] | I | 0..0 | There are no (further) constraints on this element Element idCondition.abatement[x] When in resolution/remission DefinitionThe 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.
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recordedDate | Σ | 0..0 | dateTime | There are no (further) constraints on this element Element idCondition.recordedDate Date record was first recorded DefinitionThe recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
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recorder | Σ I | 0..0 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.recorder Who recorded the condition DefinitionIndividual 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
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asserter | Σ I | 0..0 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | There are no (further) constraints on this element Element idCondition.asserter Person who asserts this condition DefinitionIndividual 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
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stage | I | 0..0 | BackboneElement | Element idCondition.stage Related Observation / Saistītais Observation DefinitionClinical stage or grade of a condition. May include formal severity assessments. Link to related TumorData, CourseOfDisease or SymptomaticTherapy profile
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evidence | I | 0..1 | BackboneElement | Element idCondition.evidence The degree of tumor differentiation | Audzēja diferenciācijas pakāpe DefinitionSupporting 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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.
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code | Σ I | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.evidence.code Manifestation/symptom DefinitionA manifestation or symptom that led to the recording of this condition. 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. Codes that describe the manifestation or symptoms of a condition.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..6 | Coding | Element idCondition.evidence.code.coding Code defined by a terminology system DefinitionA 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. Unordered, Open, by system(Value) Constraints
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tumorDifferentiationDegree | Σ | 0..1 | Coding | Element idCondition.evidence.code.coding:tumorDifferentiationDegree The degree of tumor differentiation | Audzēja diferenciācijas pakāpe DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:tumorDifferentiationDegree.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:tumorDifferentiationDegree.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:tumorDifferentiationDegree.system The degree of tumor differentiation classifier | Audzēja diferenciācijas pakāpe klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.609
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:tumorDifferentiationDegree.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:tumorDifferentiationDegree.code The degree of tumor differentiation classifier code | Audzēja diferenciācijas pakāpes klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:tumorDifferentiationDegree.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:tumorDifferentiationDegree.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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diagnosisSubstantiationType | Σ I | 0..1 | Coding | Element idCondition.evidence.code.coding:diagnosisSubstantiationType Way of substantiating the diagnosis | Diagnozes pamatošanas veids DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisSubstantiationType.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisSubstantiationType.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:diagnosisSubstantiationType.system Way of substantiating the diagnosis classifier | Diagnozes pamatošanas veida klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.613
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisSubstantiationType.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:diagnosisSubstantiationType.code Way of substantiating the diagnosis classifier code | Diagnozes pamatošanas veida klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisSubstantiationType.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisSubstantiationType.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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diagnosisRevealingType | Σ I | 0..1 | Coding | Element idCondition.evidence.code.coding:diagnosisRevealingType Way of revealing the diagnosis | Diagnozes atklāšanas veids DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingType.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingType.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:diagnosisRevealingType.system Way of revealing the diagnosis classifier | Diagnozes atklāšanas veida klasifikators DefinitionThe 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingType.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:diagnosisRevealingType.code Way of revealing the diagnosis classifier code | Diagnozes atklāšanas veida klasifikatora kods DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingType.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingType.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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diagnosisRevealingTypeOld | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.system Way of revealing the diagnosis classifier old | Diagnozes atklāšanas veida klasifikators vēsturiskais DefinitionWay of revealing the diagnosis classifier old (only for historical cards until 2024) | Diagnozes atklāšanas veida klasifikators vēsturiskais (tikai vēsturiskām kartēm līdz 2024. gadam) 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.code https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650 DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisRevealingTypeOld.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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diagnosisConfirmationTypeOld | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.system Diagnosis confirmation type classifier old | Diagnozes apstiprināšanas veida klasifikators vēsturiskais DefinitionDiagnosis confirmation type classifier old (only for historical cards until 2024) | Diagnozes apstiprināšanas veida klasifikators vēsturiskais (tikai vēsturiskām kartēm līdz 2024. gadam) 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.649
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.code Diagnosis confirmation type classifier code old | Diagnozes apstiprināšanas veida klasifikatora kods vēsturiskais DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:diagnosisConfirmationTypeOld.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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reasonForLateDiagnosticOld | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld Code defined by a terminology system DefinitionA 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.
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id | 0..1 | id | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriFixed Value | Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.system Reason for late diagnostic classifier old | Vēlīnās diagnostikas iemesls klasifikators vēsturiskais DefinitionReason for late diagnostic classifier old (only for historical cards until 2024) | Vēlīnās diagnostikas iemesls klasifikators vēsturiskais (tikai vēsturiskām kartēm līdz 2024.gadam) 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.
https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.225
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.version Version of the system - if relevant DefinitionThe 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.
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code | Σ | 1..1 | code | Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.code Reason for late diagnostic classifier code old | Vēlīnās diagnostikas iemesls klasifikatora kods vēsturiskais DefinitionA 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
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.display Representation defined by the system DefinitionA 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
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.evidence.code.coding:reasonForLateDiagnosticOld.userSelected If this coding was chosen directly by the user DefinitionIndicates 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.evidence.code.text Plain text representation of the concept DefinitionA 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.
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detail | Σ I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idCondition.evidence.detail Supporting information found elsewhere DefinitionLinks to other relevant information, including pathology reports. 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.
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note | 0..0 | Annotation | There are no (further) constraints on this element Element idCondition.note Additional information about the Condition DefinitionAdditional 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).
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Profila validācijas
Nr. | Nosacījums | Tips | Validācija FHIR |
---|---|---|---|
1. | Diagnozes noteikšanas datums nevar būt nākotnē | FHIRPath | ID: OncologyBasicDataOfDisease-con-1 iif(onset is dateTime and onset.exists(), onset.toDateTime() <= now(), false) |
2. | Audzēja morfoloģija (SSK-O-3.2.) – netiek iesūtīti ieraksti, kuriem dabas kods ir 9 - nezināms primārais audzējs | - | Šobrīd netiek nodrošināta FHIR līmenī |
3. | Audzēja morfoloģija (SSK-O-3.2.) – Morfoloģijas kodus ar dabu = 0 var izvēlēties tikai tad, ja topogrāfijas kods atbilst CNS (C70‐C72, C75.1‐C75.3) | - | Šobrīd netiek nodrošināta FHIR līmenī |
4. | Diagnoze (SSK-10) - var iesūtīt vērtības tikai no audzēju grupas C00-C97, D00-D09, D32 un D33, D35 koda garums > 3 vai kods in (C01, C07, C12, C19, C20, C23, C33, C37, C52, C55, C56, C58, C61, C64, C65, C66, C73, C80) | FHIRPath | ID: OncologyBasicDataOfDisease-con-7 iif(code.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.159').code.exists(), code.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([0-8][0-9])|([9][0-7]))|D(([0][0-9]))|D32|D33|D35'), true) |
5. | Morfoloģijas kods ir iesūtāms tikai tad, ja diagnozes pamatošanas veids ir: 10 - Primārā audzēja histoloģija 12 - Citoloģiski 13 - Audzēja specifiskie marķieri (hematoloģija) 11 - Metastāzes histoloģija | - | Šobrīd netiek nodrošināta FHIR līmenī |
6. | Ja ievada diagnozes atklāšanas veidu 5 - Pēc nāves bez autopsijas, tad pamatošanas veidam jābūt tikai 14 - Medicīniskā apliecība par nāves iestāšanos un šajā gadījumā nedrīkst būt iespējai pievienot ārstēšanas kartes, slimības gaitu. | FHIRPath | Validācija sadalīta divās atsevišķās validācijās – viena tiek definēta OncologyBasicDataOfDisease profilā (Ja ievada diagnozes atklāšanas veidu 5 - Pēc nāves bez autopsijas, tad pamatošanas veidam jābūt tikai 14 - Medicīniskā apliecība par nāves iestāšanos): ID: OncologyBasicDataOfDisease-con-8 iif(evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code = '5', evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.613').code = '14', true) Savukārt otra tiek definēta Bundle ietvaros (Ja ievada diagnozes atklāšanas veidu 5 - Pēc nāves bez autopsijas, tad šajā gadījumā nedrīkst būt iespējai pievienot ārstēšanas kartes, slimības gaitu), ar OncologyBundle-con-46 |
7. | Diagnozes kods un nosaukums pēc SSK-10 klasifikācijas ir obligāts | Kardinalitāte | Condition.code.coding:ICD-10-Code kardinalitāte ir uzstādīta 1..1 |
8. | Diagnozes noteikšanas datums ir obligāts | Kardinalitāte | Condition.onset[x] kardinalitāte ir uzstādīta 1..1 |
9. | Ja diagnozes noteikšanas valsts ir “Latvija” un diagnozes noteikšanas datums ir lielāks par 01.01.2024, Audzēja topogrāfijas kods pēc SSK-O-3.2. klasifikācijas ir obligāts | FHIRPath | ID: OncologyBasicDataOfDisease-con-2 iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset >= '2024-01-01T00:00:00.000Z'.toDateTime(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.exists(), true)) |
10. | Ja diagnozes noteikšanas valsts ir “Latvija” un diagnozes noteikšanas datums ir lielāks par 01.01.2024, Diagnozes noteikšana veids ir obligāts | FHIRPath | ID: OncologyBasicDataOfDisease-con-3 iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset >= '2024-01-01T00:00:00.000Z'.toDateTime(), evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code.exists(), true) |
11. | Ja diagnozes noteikšanas valsts ir “Latvija” un diagnozes noteikšanas datums ir mazāks par 01.01.2024, Diagnozes noteikšana veids (līdz 2024)” ir obligāts | FHIRPath | ID: OncologyBasicDataOfDisease-con-4 iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset < '2024-01-01T00:00:00.000Z'.toDateTime(), evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650').code.exists(), true) |
12. | Ja diagnozes noteikšanas valsts ir “Latvija”, Diagnozes pamatošanas veids ir obligāts | FHIRPath | ID: OncologyBasicDataOfDisease-con-5 iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension').value.coding.code='LV', evidence.code.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.613').code.exists(), true) |
13. | Audzēja morfoloģija pēc SSK-O-3.2. – obligāts, ja “Diagnozes pamatošanas veids” ir (10 – primāra audzēja histoloģija, 11 – metastāzes histoloģija, 12 – citoloģija) | - | Šobrīd netiek nodrošināta FHIR līmenī |
14. | Audzēja lokalizācija pāra orgāniem – obligāts, ja “Diagnoze pēc SSK-10” ir C34%; C50%; C64%; C69; D05% | FHIRPath | OncologyBasicDataOfDisease-con-6 iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension').value.coding.code='LV' and (code.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(34|50|64|69).[0-9]|D(50).[0-9]')) or code.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C(34|50|64|69).[0-9]')), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/LateralityExtension').value.coding.where(system='https://vvis.gov.lv/fhir/StructureDefinition/ValueSet/1.3.6.1.4.1.38760.2.611').code.exists(), true) |
15. | Slimības pamatdatu statuss var būt tikai 2-Iesniegt, 3-Anulēta, 5-Apstiprināta vai 6-Noraidīta | FHIRPath | OncologyBasicDataOfDisease-con-9 extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6$') |
16. | Ja SSK-10 diagnoze ir D00 – D09, morfoloģijas kodam jābeidzas ar 2 | - | Šobrīd netiek nodrošināta FHIR līmenī |
17. | Ja SSK-10 diagnoze ir C00-C76 un C80 – C97, morfoloģijas kodam jābeidzas ar 3 | - | Šobrīd netiek nodrošināta FHIR līmenī |
18. | Ja SSK-10 diagnoze ir C77-C79 , morfoloģijas kodam jābeidzas ar 6 | - | Šobrīd netiek nodrošināta FHIR līmenī |
19. | Ja SSK-10 diagnoze ir C00-C97, tad stadija nedrīkst būt 0 [un pārējās, kas ir ar nulli] | FHIRPath | Validācija tiek definēta Bundle resursa ietvaros ar ID: OncologyBundle-con-5 |
20. | Audzēja lokalizāciju pāra orgāniem nav iespējam iesūtīt hematoloģiskajiem audzējiem pēc SSK-O-3.2: C42% un SSK-10: C90%-C96% | FHIRPath | OncologyBasicDataOfDisease-con-10 iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C42.[0-9]') or code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C[9][0-6].[0-9]$'), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/LateralityExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.611').code.exists().not(), true) |
Datu iesūtīšanas piemēri
Skatīt Postman kolekcijas struktūru OncologyBasicDataOfDisease:
Darbība | Nosaukums | Apraksts |
---|---|---|
POST | Create OncologyBasicDataOfDisease | Jaunu slimības pamatdatu iesūtīšana |
POST | Create OncologyBasicDataOfDisease (historical cards) | Jaunu slimības pamatdatu iesūtīšana, iekļaujot arī vēsturiskos datu laukus |
GET | Get OncologyBasicDataOfDisease | Esošu slimības pamatdatu izgūšana pēc ID |
PUT | Update OncologyBasicDataOfDisease | Esošu slimības pamatdatu datu labošana |
GET | Search for OncologyBasicDataOfDisease entry by OncologyCardData reference | Slimības pamatdatu ieraksta meklēšana pēc Slimības kartes references |