This Condition resource records detailed information about conditions or diagnoses recognised by a clinician.
| CareConnect-ProblemHeader-Condition-1 (Condition) | C | Condition | There are no (further) constraints on this element Element idConditionShort description 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.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCondition.idShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description 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. 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description 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). A human language. Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description 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 may 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 in formation is added later. The cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description 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.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actualProblem | C | 0..1 | Extension(Reference(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) | Element idCondition.extension:actualProblemShort description A reference to a resource that is the actual problem Alternate namesextensions, user content DefinitionA reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem. 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(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedProblemHeader | C | 0..* | Extension(Complex) | Element idCondition.extension:relatedProblemHeaderShort description Related problem header condition (target) Alternate namesextensions, user content DefinitionRelated problem header condition (target). 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| problemSignificance | C | 0..1 | Extension(code) | Element idCondition.extension:problemSignificanceShort description An extension to record the significance of the problem header condition Alternate namesextensions, user content DefinitionAn extension to record the significance of the problem header condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedClinicalContent | C | 0..* | Extension(Reference) | Element idCondition.extension:relatedClinicalContentShort description A reference to any resource that provides related clinical content to the Condition Alternate namesextensions, user content DefinitionA reference to any resource that provides related clinical content to the Condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description 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. Usually modifier elements provide negation or qualification. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifierShort description External Ids for this condition DefinitionThis records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). Need to allow connection to a wider workflow. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary (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. This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.identifier.systemShort description 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.identifier.valueShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 123456Mappings
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| period | Σ C | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| assigner | Σ C | 0..1 | Reference(CareConnect-Organization-1) | Element idCondition.identifier.assignerShort description 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. Reference(CareConnect-Organization-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| clinicalStatus | Σ ?! C | 0..1 | codeBinding | Element idCondition.clinicalStatusShort description active | inactive DefinitionThe clinical status of the condition. This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern. The clinical status of the condition or diagnosis. Condition Clinical Status Codes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-4 Constraints
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| verificationStatus | Σ ?! C | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description provisional | differential | confirmed | refuted | entered-in-error | unknown 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. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3 Constraints
unknownMappings
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| category | 1..1 | CodeableConceptBinding | Element idCondition.categoryShort description problem-list-item | encounter-diagnosis | presenting-complaint 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. Care Connect Condition Category (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.category.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.category.coding.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | Element idCondition.category.coding.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
problem-list-itemMappings
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| display | Σ | 1..1 | stringFixed Value | Element idCondition.category.coding.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Problem List ItemMappings
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| severity | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.severityShort description 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. Condition/Diagnosis Severity (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.codeShort description Identification of the condition, problem or diagnosis 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. Condition/Problem/Diagnosis Codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | Element idCondition.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCT | Σ | 0..1 | CodingBinding | Element idCondition.code.coding:snomedCTShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. A code from the SNOMED Clinical Terminology UK Care Connect Condition Code (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | Element idCondition.code.coding:snomedCT.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCTDescriptionID | C | 0..1 | Extension(Complex) | Element idCondition.code.coding:snomedCT.extension:snomedCTDescriptionIDShort description The SNOMED CT Description ID for the display Alternate namesextensions, user content DefinitionThe SNOMED CT Description ID for the display. 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:snomedCT.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://snomed.info/sctMappings
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| version | Σ | 0..0 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| display | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description 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 body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(Group | CareConnect-Patient-1) | Element idCondition.subjectShort description 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. Reference(Group | CareConnect-Patient-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | Σ C | 0..1 | Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) | Element idCondition.contextShort description Encounter or episode when condition first asserted Alternate namesencounter DefinitionEncounter during which the condition was first asserted. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description If/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. The cardinality or value of this element may be affected by these constraints: ele-1, con-4 Constraints
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| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| assertedDate | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.assertedDateShort description Date record was believed accurate DefinitionThe date on which the existance of the Condition was first asserted or acknowledged. The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| asserter | Σ C | 0..1 | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Element idCondition.asserterShort description 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(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| stage | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| evidence | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.noteShort description 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). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.note.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.note.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.note.author[x]Short description Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| authorReference | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Data type Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | ||||
| authorString | string | Data type | ||||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.note.timeShort description When the annotation was made DefinitionIndicates when this particular annotation was made. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | 1..1 | string | There are no (further) constraints on this element Element idCondition.note.textShort description The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| CareConnect-ProblemHeader-Condition-1 (Condition) | C | Condition | There are no (further) constraints on this element Element idConditionShort description 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.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCondition.idShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description 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. 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description 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). A human language. Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description 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 may 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 in formation is added later. The cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description 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.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actualProblem | C | 0..1 | Extension(Reference(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) | Element idCondition.extension:actualProblemShort description A reference to a resource that is the actual problem Alternate namesextensions, user content DefinitionA reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem. 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(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedProblemHeader | C | 0..* | Extension(Complex) | Element idCondition.extension:relatedProblemHeaderShort description Related problem header condition (target) Alternate namesextensions, user content DefinitionRelated problem header condition (target). 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| problemSignificance | C | 0..1 | Extension(code) | Element idCondition.extension:problemSignificanceShort description An extension to record the significance of the problem header condition Alternate namesextensions, user content DefinitionAn extension to record the significance of the problem header condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedClinicalContent | C | 0..* | Extension(Reference) | Element idCondition.extension:relatedClinicalContentShort description A reference to any resource that provides related clinical content to the Condition Alternate namesextensions, user content DefinitionA reference to any resource that provides related clinical content to the Condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description 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. Usually modifier elements provide negation or qualification. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifierShort description External Ids for this condition DefinitionThis records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). Need to allow connection to a wider workflow. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary (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. This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.identifier.systemShort description 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.identifier.valueShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 123456Mappings
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| period | Σ C | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| assigner | Σ C | 0..1 | Reference(CareConnect-Organization-1) | Element idCondition.identifier.assignerShort description 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. Reference(CareConnect-Organization-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| clinicalStatus | Σ ?! C | 0..1 | codeBinding | Element idCondition.clinicalStatusShort description active | inactive DefinitionThe clinical status of the condition. This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern. The clinical status of the condition or diagnosis. Condition Clinical Status Codes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-4 Constraints
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| verificationStatus | Σ ?! C | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description provisional | differential | confirmed | refuted | entered-in-error | unknown 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. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3 Constraints
unknownMappings
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| category | 1..1 | CodeableConceptBinding | Element idCondition.categoryShort description problem-list-item | encounter-diagnosis | presenting-complaint 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. Care Connect Condition Category (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.category.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.category.coding.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1Mappings
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| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | Element idCondition.category.coding.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
problem-list-itemMappings
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| display | Σ | 1..1 | stringFixed Value | Element idCondition.category.coding.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Problem List ItemMappings
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| severity | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.severityShort description 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. Condition/Diagnosis Severity (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.codeShort description Identification of the condition, problem or diagnosis 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. Condition/Problem/Diagnosis Codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | Element idCondition.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCT | Σ | 0..1 | CodingBinding | Element idCondition.code.coding:snomedCTShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. A code from the SNOMED Clinical Terminology UK Care Connect Condition Code (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | Element idCondition.code.coding:snomedCT.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCTDescriptionID | C | 0..1 | Extension(Complex) | Element idCondition.code.coding:snomedCT.extension:snomedCTDescriptionIDShort description The SNOMED CT Description ID for the display Alternate namesextensions, user content DefinitionThe SNOMED CT Description ID for the display. 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:snomedCT.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://snomed.info/sctMappings
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| version | Σ | 0..0 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| display | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description 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 body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(Group | CareConnect-Patient-1) | Element idCondition.subjectShort description 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. Reference(Group | CareConnect-Patient-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | Σ C | 0..1 | Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) | Element idCondition.contextShort description Encounter or episode when condition first asserted Alternate namesencounter DefinitionEncounter during which the condition was first asserted. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description If/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. The cardinality or value of this element may be affected by these constraints: ele-1, con-4 Constraints
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| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| assertedDate | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.assertedDateShort description Date record was believed accurate DefinitionThe date on which the existance of the Condition was first asserted or acknowledged. The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| asserter | Σ C | 0..1 | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Element idCondition.asserterShort description 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(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| stage | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| evidence | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.noteShort description 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). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.note.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.note.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.note.author[x]Short description Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| authorReference | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Data type Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | ||||
| authorString | string | Data type | ||||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.note.timeShort description When the annotation was made DefinitionIndicates when this particular annotation was made. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | 1..1 | string | There are no (further) constraints on this element Element idCondition.note.textShort description The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| CareConnect-ProblemHeader-Condition-1 (Condition) | C | Condition | There are no (further) constraints on this element Element idConditionShort description 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.
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| id | Σ | 0..1 | id | There are no (further) constraints on this element Element idCondition.idShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idCondition.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idCondition.implicitRulesShort description 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. 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.languageShort description 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). A human language. Binding extensions
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | C | 0..1 | Narrative | There are no (further) constraints on this element Element idCondition.textShort description 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 may 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 in formation is added later. The cardinality or value of this element may be affected by these constraints: ele-1, dom-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idCondition.containedShort description 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.
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| extension | C | 0..* | Extension | Element idCondition.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actualProblem | C | 0..1 | Extension(Reference(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) | Element idCondition.extension:actualProblemShort description A reference to a resource that is the actual problem Alternate namesextensions, user content DefinitionA reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem. 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(CareConnect-AllergyIntolerance-1 | CareConnect-Condition-1 | CareConnect-FamilyMemberHistory-1 | CareConnect-Observation-1)) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedProblemHeader | C | 0..* | Extension(Complex) | Element idCondition.extension:relatedProblemHeaderShort description Related problem header condition (target) Alternate namesextensions, user content DefinitionRelated problem header condition (target). 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| problemSignificance | C | 0..1 | Extension(code) | Element idCondition.extension:problemSignificanceShort description An extension to record the significance of the problem header condition Alternate namesextensions, user content DefinitionAn extension to record the significance of the problem header condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| relatedClinicalContent | C | 0..* | Extension(Reference) | Element idCondition.extension:relatedClinicalContentShort description A reference to any resource that provides related clinical content to the Condition Alternate namesextensions, user content DefinitionA reference to any resource that provides related clinical content to the Condition. 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://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.modifierExtensionShort description 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. Usually modifier elements provide negation or qualification. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idCondition.identifierShort description External Ids for this condition DefinitionThis records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). Need to allow connection to a wider workflow. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.identifier.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.identifier.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.identifier.useShort description usual | official | temp | secondary (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. This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.identifier.typeShort description 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. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idCondition.identifier.systemShort description 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. see http://en.wikipedia.org/wiki/Uniform_resource_identifier The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General http://www.acme.com/identifiers/patientMappings
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| value | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.identifier.valueShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 123456Mappings
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| period | Σ C | 0..1 | Period | There are no (further) constraints on this element Element idCondition.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. 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"). If duration is required, specify the type as Interval|Duration. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| assigner | Σ C | 0..1 | Reference(CareConnect-Organization-1) | Element idCondition.identifier.assignerShort description 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. Reference(CareConnect-Organization-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| clinicalStatus | Σ ?! C | 0..1 | codeBinding | Element idCondition.clinicalStatusShort description active | inactive DefinitionThe clinical status of the condition. This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern. The clinical status of the condition or diagnosis. Condition Clinical Status Codes (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-4 Constraints
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| verificationStatus | Σ ?! C | 0..1 | codeBinding | There are no (further) constraints on this element Element idCondition.verificationStatusShort description provisional | differential | confirmed | refuted | entered-in-error | unknown 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. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1, con-3 Constraints
unknownMappings
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| category | 1..1 | CodeableConceptBinding | Element idCondition.categoryShort description problem-list-item | encounter-diagnosis | presenting-complaint 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. Care Connect Condition Category (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idCondition.category.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.category.coding.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.category.coding.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1Mappings
| ||
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.coding.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| code | Σ | 1..1 | codeFixed Value | Element idCondition.category.coding.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
problem-list-itemMappings
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| display | Σ | 1..1 | stringFixed Value | Element idCondition.category.coding.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
Problem List ItemMappings
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| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.category.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.category.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| severity | 0..0 | CodeableConceptBinding | There are no (further) constraints on this element Element idCondition.severityShort description 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. Condition/Diagnosis Severity (preferred) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| code | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idCondition.codeShort description Identification of the condition, problem or diagnosis 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. Condition/Problem/Diagnosis Codes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.code.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| coding | Σ | 0..* | Coding | Element idCondition.code.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCT | Σ | 0..1 | CodingBinding | Element idCondition.code.coding:snomedCTShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. 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. A code from the SNOMED Clinical Terminology UK Care Connect Condition Code (required) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| extension | C | 0..* | Extension | Element idCondition.code.coding:snomedCT.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| snomedCTDescriptionID | C | 0..1 | Extension(Complex) | Element idCondition.code.coding:snomedCT.extension:snomedCTDescriptionIDShort description The SNOMED CT Description ID for the display Alternate namesextensions, user content DefinitionThe SNOMED CT Description ID for the display. 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(Complex) Extension URLhttps://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| system | Σ | 1..1 | uriFixed Value | Element idCondition.code.coding:snomedCT.systemShort description Identity of the terminology system 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 de-reference to some definition that establish the system clearly and unambiguously. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
http://snomed.info/sctMappings
| ||
| version | Σ | 0..0 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.versionShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| code | Σ | 1..1 | code | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.codeShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| display | Σ | 1..1 | string | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.displayShort description 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 may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idCondition.code.coding:snomedCT.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| text | Σ | 0..1 | string | There are no (further) constraints on this element Element idCondition.code.textShort description 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..0 | CodeableConcept | There are no (further) constraints on this element Element idCondition.bodySiteShort description 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 body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both. Codes describing anatomical locations. May include laterality. SNOMED CT Body Structures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(Group | CareConnect-Patient-1) | Element idCondition.subjectShort description 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. Reference(Group | CareConnect-Patient-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| context | Σ C | 0..1 | Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) | Element idCondition.contextShort description Encounter or episode when condition first asserted Alternate namesencounter DefinitionEncounter during which the condition was first asserted. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| onset[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.onset[x]Short description Estimated or actual date, date-time, or age 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. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| onsetAge | Age | There are no (further) constraints on this element Data type | ||||
| onsetDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| onsetPeriod | Period | There are no (further) constraints on this element Data type | ||||
| onsetRange | Range | There are no (further) constraints on this element Data type | ||||
| onsetString | string | There are no (further) constraints on this element Data type | ||||
| abatement[x] | C | 0..1 | There are no (further) constraints on this element Element idCondition.abatement[x]Short description If/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. The cardinality or value of this element may be affected by these constraints: ele-1, con-4 Constraints
| |||
| abatementAge | Age | There are no (further) constraints on this element Data type | ||||
| abatementBoolean | boolean | There are no (further) constraints on this element Data type | ||||
| abatementDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
| abatementPeriod | Period | There are no (further) constraints on this element Data type | ||||
| abatementRange | Range | There are no (further) constraints on this element Data type | ||||
| abatementString | string | There are no (further) constraints on this element Data type | ||||
| assertedDate | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.assertedDateShort description Date record was believed accurate DefinitionThe date on which the existance of the Condition was first asserted or acknowledged. The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| asserter | Σ C | 0..1 | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Element idCondition.asserterShort description 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(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| stage | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.stageShort description Stage/grade, usually assessed formally DefinitionClinical stage or grade of a condition. May include formal severity assessments. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| evidence | C | 0..0 | BackboneElement | There are no (further) constraints on this element Element idCondition.evidenceShort description Supporting evidence DefinitionSupporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| note | 0..* | Annotation | There are no (further) constraints on this element Element idCondition.noteShort description 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). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| id | 0..1 | string | There are no (further) constraints on this element Element idCondition.note.idShort description xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idCondition.note.extensionShort description 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. In order 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. 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 ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idCondition.note.author[x]Short description Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| |||
| authorReference | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | Data type Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | ||||
| authorString | string | Data type | ||||
| time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idCondition.note.timeShort description When the annotation was made DefinitionIndicates when this particular annotation was made. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
| ||
| text | 1..1 | string | There are no (further) constraints on this element Element idCondition.note.textShort description The annotation - text content DefinitionThe text of the annotation. Note that FHIR strings may not exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
|
| Condition | .. | |
| Condition.extension | 0.. | |
| Condition.extension:actualProblem | Extension | 0.. |
| Condition.extension:relatedProblemHeader | Extension | 0.. |
| Condition.extension:problemSignificance | Extension | 0.. |
| Condition.extension:relatedClinicalContent | Extension | 0.. |
| Condition.identifier | .. | |
| Condition.identifier.system | 1.. | |
| Condition.identifier.value | 1.. | |
| Condition.identifier.assigner | Reference(CareConnect-Organization-1) | .. |
| Condition.clinicalStatus | .. | |
| Condition.category | 1..1 | |
| Condition.category.coding | .. | |
| Condition.category.coding.system | 1.. | |
| Condition.category.coding.code | 1.. | |
| Condition.category.coding.display | 1.. | |
| Condition.severity | ..0 | |
| Condition.code | .. | |
| Condition.code.coding | .. | |
| Condition.code.coding:snomedCT | ..1 | |
| Condition.code.coding:snomedCT.extension | 0.. | |
| Condition.code.coding:snomedCT.extension:snomedCTDescriptionID | Extension | 0.. |
| Condition.code.coding:snomedCT.system | 1.. | |
| Condition.code.coding:snomedCT.version | ..0 | |
| Condition.code.coding:snomedCT.code | 1.. | |
| Condition.code.coding:snomedCT.display | 1.. | |
| Condition.bodySite | ..0 | |
| Condition.subject | Reference(Group | CareConnect-Patient-1) | .. |
| Condition.context | Reference(CareConnect-Encounter-1 | CareConnect-EpisodeOfCare-1) | .. |
| Condition.asserter | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | .. |
| Condition.stage | ..0 | |
| Condition.evidence | ..0 | |
| Condition.note | .. | |
| Condition.note.author[x] | Reference(CareConnect-Patient-1 | CareConnect-Practitioner-1 | CareConnect-RelatedPerson-1) | string | .. |
There is no specific guidance for this profile.
