UK Core Implementation Guide 0.4.0 - STU1

StructureDefinition-UKCore-Condition

Defines the UK Core constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.

Profile Purpose

This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. The condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician's assessment and assertion of a particular aspect of an individual's state of health. It can be used to record information about a disease/illness identified from application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern).

Snapshot View

actualProblemI0..1Extension(Reference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory))
conditionEpisodeI0..*Extension(code)
problemSignificanceI0..1Extension(code)
relatedClinicalContentI0..*Extension(Reference(Resource))
relatedProblemHeaderI0..*Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
clinicalStatusΣ ?! I0..1CodeableConceptBinding
verificationStatusΣ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
codeΣ0..1CodeableConceptBinding
bodySiteΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
summaryI0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
type0..1CodeableConcept
codeΣ I0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(UK Core Practitioner | UK Core Patient | UK Core RelatedPerson | UK Core Organization)
timeΣ0..1dateTime
textΣ1..1markdown

Differential View

actualProblemI0..1Extension(Reference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory))
conditionEpisodeI0..*Extension(code)
problemSignificanceI0..1Extension(code)
relatedClinicalContentI0..*Extension(Reference(Resource))
relatedProblemHeaderI0..*Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
clinicalStatusΣ ?! I0..1CodeableConceptBinding
verificationStatusΣ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
codeΣ0..1CodeableConceptBinding
bodySiteΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
summaryI0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
type0..1CodeableConcept
codeΣ I0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(UK Core Practitioner | UK Core Patient | UK Core RelatedPerson | UK Core Organization)
timeΣ0..1dateTime
textΣ1..1markdown

Hybrid View

actualProblemI0..1Extension(Reference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory))
conditionEpisodeI0..*Extension(code)
problemSignificanceI0..1Extension(code)
relatedClinicalContentI0..*Extension(Reference(Resource))
relatedProblemHeaderI0..*Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
clinicalStatusΣ ?! I0..1CodeableConceptBinding
verificationStatusΣ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
codeΣ0..1CodeableConceptBinding
bodySiteΣ0..*CodeableConceptBinding
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
summaryI0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
type0..1CodeableConcept
codeΣ I0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(UK Core Practitioner | UK Core Patient | UK Core RelatedPerson | UK Core Organization)
timeΣ0..1dateTime
textΣ1..1markdown

Table View

Condition..
Condition.extension0..
Condition.extensionExtension0..1
Condition.extensionExtension0..
Condition.extensionExtension0..1
Condition.extensionExtension0..
Condition.extensionExtension0..
Condition.identifier..
Condition.identifier.assignerReference(UK Core Organization)..
Condition.category..
Condition.code..
Condition.bodySite..
Condition.subjectReference(Group | UK Core Patient)..
Condition.subject.identifier..
Condition.subject.identifier.assignerReference(UK Core Organization)..
Condition.encounterReference(UK Core Encounter)..
Condition.encounter.identifier..
Condition.encounter.identifier.assignerReference(UK Core Organization)..
Condition.recorderReference(UK Core Patient | UK Core Practitioner | UK Core PractitionerRole | UK Core RelatedPerson)..
Condition.recorder.identifier..
Condition.recorder.identifier.assignerReference(UK Core Organization)..
Condition.asserterReference(UK Core Practitioner | UK Core PractitionerRole | UK Core Patient | UK Core RelatedPerson)..
Condition.asserter.identifier..
Condition.asserter.identifier.assignerReference(UK Core Organization)..
Condition.stage..
Condition.stage.assessmentReference(ClinicalImpression | UK Core DiagnosticReport | UK Core Observation)..
Condition.stage.assessment.identifier..
Condition.stage.assessment.identifier.assignerReference(UK Core Organization)..
Condition.evidence..
Condition.evidence.detail..
Condition.evidence.detail.identifier..
Condition.evidence.detail.identifier.assignerReference(UK Core Organization)..
Condition.note..
Condition.note.author[x]Reference(UK Core Practitioner | UK Core Patient | UK Core RelatedPerson | UK Core Organization), string..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-Condition" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
    <version value="2.2.0" />
    <name value="UKCoreCondition" />
    <title value="UK Core Condition" />
    <status value="active" />
    <date value="2022-03-01" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Defines the UK Core constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information." />
    <purpose value="This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. The condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician&#39;s assessment and assertion of a particular aspect of an individual&#39;s state of health. It can be used to record information about a disease/illness identified from application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern)." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="workflow" />
        <uri value="http://hl7.org/fhir/workflow" />
        <name value="Workflow Pattern" />
    </mapping>
    <mapping>
        <identity value="sct-concept" />
        <uri value="http://snomed.info/conceptdomain" />
        <name value="SNOMED CT Concept Domain Binding" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="sct-attr" />
        <uri value="http://snomed.org/attributebinding" />
        <name value="SNOMED CT Attribute Binding" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Condition" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
    <derivation value="constraint" />
    <differential>
        <element id="Condition.extension">
            <path value="Condition.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="0" />
        </element>
        <element id="Condition.extension:actualProblem">
            <path value="Condition.extension" />
            <sliceName value="actualProblem" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem" />
            </type>
        </element>
        <element id="Condition.extension:conditionEpisode">
            <path value="Condition.extension" />
            <sliceName value="conditionEpisode" />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode" />
            </type>
        </element>
        <element id="Condition.extension:problemSignificance">
            <path value="Condition.extension" />
            <sliceName value="problemSignificance" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance" />
            </type>
        </element>
        <element id="Condition.extension:relatedClinicalContent">
            <path value="Condition.extension" />
            <sliceName value="relatedClinicalContent" />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent" />
            </type>
        </element>
        <element id="Condition.extension:relatedProblemHeader">
            <path value="Condition.extension" />
            <sliceName value="relatedProblemHeader" />
            <min value="0" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader" />
            </type>
        </element>
        <element id="Condition.identifier.assigner">
            <path value="Condition.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.category">
            <path value="Condition.category" />
            <binding>
                <strength value="extensible" />
                <description value="A ValueSet to identify the category of a condition." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory" />
            </binding>
        </element>
        <element id="Condition.code">
            <path value="Condition.code" />
            <binding>
                <strength value="extensible" />
                <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;404684003 |Clinical finding| OR &lt;413350009 |Finding with explicit context| OR &lt;272379006 |Event|)." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode" />
            </binding>
        </element>
        <element id="Condition.bodySite">
            <path value="Condition.bodySite" />
            <binding>
                <strength value="extensible" />
                <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;&lt;442083009 |anatomical or acquired body structure|)." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite" />
            </binding>
        </element>
        <element id="Condition.subject">
            <path value="Condition.subject" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
            </type>
        </element>
        <element id="Condition.subject.identifier.assigner">
            <path value="Condition.subject.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.encounter">
            <path value="Condition.encounter" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" />
            </type>
        </element>
        <element id="Condition.encounter.identifier.assigner">
            <path value="Condition.encounter.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.recorder">
            <path value="Condition.recorder" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" />
            </type>
        </element>
        <element id="Condition.recorder.identifier.assigner">
            <path value="Condition.recorder.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.asserter">
            <path value="Condition.asserter" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" />
            </type>
        </element>
        <element id="Condition.asserter.identifier.assigner">
            <path value="Condition.asserter.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.stage.assessment">
            <path value="Condition.stage.assessment" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
            </type>
        </element>
        <element id="Condition.stage.assessment.identifier.assigner">
            <path value="Condition.stage.assessment.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.evidence.detail.identifier.assigner">
            <path value="Condition.evidence.detail.identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Condition.note.author[x]">
            <path value="Condition.note.author[x]" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
            <type>
                <code value="string" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-Condition",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
    "version": "2.2.0",
    "name": "UKCoreCondition",
    "title": "UK Core Condition",
    "status": "active",
    "date": "2022-03-01",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Defines the UK Core constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.",
    "purpose": "This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. The condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician's assessment and assertion of a particular aspect of an individual's state of health. It can be used to record information about a disease/illness identified from application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern).",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "workflow",
            "uri": "http://hl7.org/fhir/workflow",
            "name": "Workflow Pattern"
        },
        {
            "identity": "sct-concept",
            "uri": "http://snomed.info/conceptdomain",
            "name": "SNOMED CT Concept Domain Binding"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "sct-attr",
            "uri": "http://snomed.org/attributebinding",
            "name": "SNOMED CT Attribute Binding"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Condition",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Condition.extension",
                "path": "Condition.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 0
            },
            {
                "id": "Condition.extension:actualProblem",
                "path": "Condition.extension",
                "sliceName": "actualProblem",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.extension:conditionEpisode",
                "path": "Condition.extension",
                "sliceName": "conditionEpisode",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.extension:problemSignificance",
                "path": "Condition.extension",
                "sliceName": "problemSignificance",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.extension:relatedClinicalContent",
                "path": "Condition.extension",
                "sliceName": "relatedClinicalContent",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.extension:relatedProblemHeader",
                "path": "Condition.extension",
                "sliceName": "relatedProblemHeader",
                "min": 0,
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.identifier.assigner",
                "path": "Condition.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.category",
                "path": "Condition.category",
                "binding": {
                    "strength": "extensible",
                    "description": "A ValueSet to identify the category of a condition.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory"
                }
            },
            {
                "id": "Condition.code",
                "path": "Condition.code",
                "binding": {
                    "strength": "extensible",
                    "description": "A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|).",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode"
                }
            },
            {
                "id": "Condition.bodySite",
                "path": "Condition.bodySite",
                "binding": {
                    "strength": "extensible",
                    "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite"
                }
            },
            {
                "id": "Condition.subject",
                "path": "Condition.subject",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Group",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.subject.identifier.assigner",
                "path": "Condition.subject.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.encounter",
                "path": "Condition.encounter",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.encounter.identifier.assigner",
                "path": "Condition.encounter.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.recorder",
                "path": "Condition.recorder",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.recorder.identifier.assigner",
                "path": "Condition.recorder.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.asserter",
                "path": "Condition.asserter",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.asserter.identifier.assigner",
                "path": "Condition.asserter.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.stage.assessment",
                "path": "Condition.stage.assessment",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.stage.assessment.identifier.assigner",
                "path": "Condition.stage.assessment.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.evidence.detail.identifier.assigner",
                "path": "Condition.evidence.detail.identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.note.author[x]",
                "path": "Condition.note.author[x]",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    },
                    {
                        "code": "string"
                    }
                ]
            }
        ]
    }
}

Example Usage Scenarios

The following are example usage scenarios for the UK Core Condition profile:

  • Query for a Patient’s current or historical conditions
  • Record or update a Patient’s conditions

Profile specific implementation guidance:

extension:actualproblem

More information about this extension can be found using the link below.

Extension UKCore-ActualProblem


extension:conditionepisode

More information about this extension can be found using the link below.

Extension UKCore-ConditionEpisode


extension:problemsignificance

More information about this extension can be found using the link below.

Extension UKCore-ProblemSignificance


extension:relatedclinicalcontent

More information about this extension can be found using the link below.

Extension UKCore-RelatedClinicalContent


extension:relatedproblemheader

More information about this extension can be found using the link below.

Extension UKCore-RelatedProblemHeader


identifier

External Ids for this condition.

Provider Systems

It is recommended that the identifier value is a Universally Unique Identifier (UUID) as there is no nationally recognised business identifier for an instance of a recorded condition.

Consumer Systems

Consumer systems MUST consume this data.


clinicalStatus

The clinical status of the condition.

Is Modifier true (Reason: This element is labelled as a modifier because the status contains codes that mark the condition as no longer active.)

This element when used must use the following values.

HTML View

This code system http://terminology.hl7.org/CodeSystem/condition-clinical defines the following codes:

LvlCodeDisplayDefinition
1activeActiveThe subject is currently experiencing the symptoms of the condition or there is evidence of the condition.
2  recurrenceRecurrenceThe subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis.
2  relapseRelapseThe subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc.
1inactiveInactiveThe subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition.
2  remissionRemissionThe subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning.
2  resolvedResolvedThe subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning.

Table View

CodeSystem.id[0]condition-clinical
CodeSystem.meta[0].lastUpdated[0]2019-11-01T09:29:23.356+11:00
CodeSystem.meta[0].profile[0]http://hl7.org/fhir/StructureDefinition/shareablecodesystem
CodeSystem.extension[0].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
CodeSystem.extension[0].valueCode[0]pc
CodeSystem.extension[1].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
CodeSystem.extension[1].valueCode[0]trial-use
CodeSystem.extension[2].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
CodeSystem.extension[2].valueInteger[0]3
CodeSystem.url[0]http://terminology.hl7.org/CodeSystem/condition-clinical
CodeSystem.identifier[0].system[0]urn:ietf:rfc:3986
CodeSystem.identifier[0].value[0]urn:oid:2.16.840.1.113883.4.642.4.1074
CodeSystem.version[0]4.0.1
CodeSystem.name[0]ConditionClinicalStatusCodes
CodeSystem.title[0]Condition Clinical Status Codes
CodeSystem.status[0]draft
CodeSystem.experimental[0]False
CodeSystem.publisher[0]FHIR Project team
CodeSystem.contact[0].telecom[0].system[0]url
CodeSystem.contact[0].telecom[0].value[0]http://hl7.org/fhir
CodeSystem.description[0]Preferred value set for Condition Clinical Status.
CodeSystem.caseSensitive[0]True
CodeSystem.valueSet[0]http://hl7.org/fhir/ValueSet/condition-clinical
CodeSystem.content[0]complete
CodeSystem.concept[0].code[0]active
CodeSystem.concept[0].display[0]Active
CodeSystem.concept[0].definition[0]The subject is currently experiencing the symptoms of the condition or there is evidence of the condition.
CodeSystem.concept[0].concept[0].code[0]recurrence
CodeSystem.concept[0].concept[0].display[0]Recurrence
CodeSystem.concept[0].concept[0].definition[0]The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis.
CodeSystem.concept[0].concept[1].code[0]relapse
CodeSystem.concept[0].concept[1].display[0]Relapse
CodeSystem.concept[0].concept[1].definition[0]The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc.
CodeSystem.concept[1].code[0]inactive
CodeSystem.concept[1].display[0]Inactive
CodeSystem.concept[1].definition[0]The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition.
CodeSystem.concept[1].concept[0].code[0]remission
CodeSystem.concept[1].concept[0].display[0]Remission
CodeSystem.concept[1].concept[0].definition[0]The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning.
CodeSystem.concept[1].concept[1].code[0]resolved
CodeSystem.concept[1].concept[1].display[0]Resolved
CodeSystem.concept[1].concept[1].definition[0]The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning.

XML View

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="condition-clinical" />
    <meta>
        <lastUpdated value="2019-11-01T09:29:23.356+11:00" />
        <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem" />
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pc" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="3" />
    </extension>
    <url value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
    <identifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:2.16.840.1.113883.4.642.4.1074" />
    </identifier>
    <version value="4.0.1" />
    <name value="ConditionClinicalStatusCodes" />
    <title value="Condition Clinical Status Codes" />
    <status value="draft" />
    <experimental value="false" />
    <publisher value="FHIR Project team" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="http://hl7.org/fhir" />
        </telecom>
    </contact>
    <description value="Preferred value set for Condition Clinical Status." />
    <caseSensitive value="true" />
    <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical" />
    <content value="complete" />
    <concept>
        <code value="active" />
        <display value="Active" />
        <definition value="The subject is currently experiencing the symptoms of the condition or there is evidence of the condition." />
        <concept>
            <code value="recurrence" />
            <display value="Recurrence" />
            <definition value="The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis." />
        </concept>
        <concept>
            <code value="relapse" />
            <display value="Relapse" />
            <definition value="The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc." />
        </concept>
    </concept>
    <concept>
        <code value="inactive" />
        <display value="Inactive" />
        <definition value="The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition." />
        <concept>
            <code value="remission" />
            <display value="Remission" />
            <definition value="The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning." />
        </concept>
        <concept>
            <code value="resolved" />
            <display value="Resolved" />
            <definition value="The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning." />
        </concept>
    </concept>
</CodeSystem>

JSON View

{
    "resourceType": "CodeSystem",
    "id": "condition-clinical",
    "meta": {
        "lastUpdated": "2019-11-01T09:29:23.356+11:00",
        "profile":  [
            "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
        ]
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pc"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "trial-use"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 3
        }
    ],
    "url": "http://terminology.hl7.org/CodeSystem/condition-clinical",
    "identifier":  [
        {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:oid:2.16.840.1.113883.4.642.4.1074"
        }
    ],
    "version": "4.0.1",
    "name": "ConditionClinicalStatusCodes",
    "title": "Condition Clinical Status Codes",
    "status": "draft",
    "experimental": false,
    "publisher": "FHIR Project team",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://hl7.org/fhir"
                }
            ]
        }
    ],
    "description": "Preferred value set for Condition Clinical Status.",
    "caseSensitive": true,
    "valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical",
    "content": "complete",
    "concept":  [
        {
            "code": "active",
            "display": "Active",
            "definition": "The subject is currently experiencing the symptoms of the condition or there is evidence of the condition.",
            "concept":  [
                {
                    "code": "recurrence",
                    "display": "Recurrence",
                    "definition": "The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis."
                },
                {
                    "code": "relapse",
                    "display": "Relapse",
                    "definition": "The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc."
                }
            ]
        },
        {
            "code": "inactive",
            "display": "Inactive",
            "definition": "The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition.",
            "concept":  [
                {
                    "code": "remission",
                    "display": "Remission",
                    "definition": "The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning."
                },
                {
                    "code": "resolved",
                    "display": "Resolved",
                    "definition": "The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning."
                }
            ]
        }
    ]
}

Further discussion and guidance is required on the use of this element.


verificationStatus

The verification status to support the clinical status of the condition.

Is Modifier true (Reason: This element is labelled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.)

HTML View

This code system http://terminology.hl7.org/CodeSystem/condition-ver-status defines the following codes:

LvlCodeDisplayDefinition
1unconfirmedUnconfirmedThere is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.
2  provisionalProvisionalThis is a tentative diagnosis - still a candidate that is under consideration.
2  differentialDifferentialOne of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment.
1confirmedConfirmedThere is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.
1refutedRefutedThis condition has been ruled out by diagnostic and clinical evidence.
1entered-in-errorEntered in ErrorThe statement was entered in error and is not valid.

Table View

CodeSystem.id[0]condition-ver-status
CodeSystem.meta[0].lastUpdated[0]2019-11-01T09:29:23.356+11:00
CodeSystem.extension[0].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
CodeSystem.extension[0].valueCode[0]pc
CodeSystem.extension[1].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
CodeSystem.extension[1].valueCode[0]trial-use
CodeSystem.extension[2].url[0]http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
CodeSystem.extension[2].valueInteger[0]3
CodeSystem.url[0]http://terminology.hl7.org/CodeSystem/condition-ver-status
CodeSystem.identifier[0].system[0]urn:ietf:rfc:3986
CodeSystem.identifier[0].value[0]urn:oid:2.16.840.1.113883.4.642.4.1075
CodeSystem.version[0]4.0.1
CodeSystem.name[0]ConditionVerificationStatus
CodeSystem.title[0]ConditionVerificationStatus
CodeSystem.status[0]draft
CodeSystem.experimental[0]False
CodeSystem.date[0]2019-11-01T09:29:23+11:00
CodeSystem.publisher[0]HL7 (FHIR Project)
CodeSystem.contact[0].telecom[0].system[0]url
CodeSystem.contact[0].telecom[0].value[0]http://hl7.org/fhir
CodeSystem.contact[0].telecom[1].system[0]email
CodeSystem.contact[0].telecom[1].value[0]fhir@lists.hl7.org
CodeSystem.description[0]The verification status to support or decline the clinical status of the condition or diagnosis.
CodeSystem.caseSensitive[0]True
CodeSystem.valueSet[0]http://hl7.org/fhir/ValueSet/condition-ver-status
CodeSystem.content[0]complete
CodeSystem.concept[0].code[0]unconfirmed
CodeSystem.concept[0].display[0]Unconfirmed
CodeSystem.concept[0].definition[0]There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.
CodeSystem.concept[0].concept[0].code[0]provisional
CodeSystem.concept[0].concept[0].display[0]Provisional
CodeSystem.concept[0].concept[0].definition[0]This is a tentative diagnosis - still a candidate that is under consideration.
CodeSystem.concept[0].concept[1].code[0]differential
CodeSystem.concept[0].concept[1].display[0]Differential
CodeSystem.concept[0].concept[1].definition[0]One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment.
CodeSystem.concept[1].code[0]confirmed
CodeSystem.concept[1].display[0]Confirmed
CodeSystem.concept[1].definition[0]There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.
CodeSystem.concept[2].code[0]refuted
CodeSystem.concept[2].display[0]Refuted
CodeSystem.concept[2].definition[0]This condition has been ruled out by diagnostic and clinical evidence.
CodeSystem.concept[3].code[0]entered-in-error
CodeSystem.concept[3].display[0]Entered in Error
CodeSystem.concept[3].definition[0]The statement was entered in error and is not valid.

XML View

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="condition-ver-status" />
    <meta>
        <lastUpdated value="2019-11-01T09:29:23.356+11:00" />
    </meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pc" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="3" />
    </extension>
    <url value="http://terminology.hl7.org/CodeSystem/condition-ver-status" />
    <identifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:2.16.840.1.113883.4.642.4.1075" />
    </identifier>
    <version value="4.0.1" />
    <name value="ConditionVerificationStatus" />
    <title value="ConditionVerificationStatus" />
    <status value="draft" />
    <experimental value="false" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7 (FHIR Project)" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="http://hl7.org/fhir" />
        </telecom>
        <telecom>
            <system value="email" />
            <value value="fhir@lists.hl7.org" />
        </telecom>
    </contact>
    <description value="The verification status to support or decline the clinical status of the condition or diagnosis." />
    <caseSensitive value="true" />
    <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status" />
    <content value="complete" />
    <concept>
        <code value="unconfirmed" />
        <display value="Unconfirmed" />
        <definition value="There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition." />
        <concept>
            <code value="provisional" />
            <display value="Provisional" />
            <definition value="This is a tentative diagnosis - still a candidate that is under consideration." />
        </concept>
        <concept>
            <code value="differential" />
            <display value="Differential" />
            <definition value="One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment." />
        </concept>
    </concept>
    <concept>
        <code value="confirmed" />
        <display value="Confirmed" />
        <definition value="There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition." />
    </concept>
    <concept>
        <code value="refuted" />
        <display value="Refuted" />
        <definition value="This condition has been ruled out by diagnostic and clinical evidence." />
    </concept>
    <concept>
        <code value="entered-in-error" />
        <display value="Entered in Error" />
        <definition value="The statement was entered in error and is not valid." />
    </concept>
</CodeSystem>

JSON View

{
    "resourceType": "CodeSystem",
    "id": "condition-ver-status",
    "meta": {
        "lastUpdated": "2019-11-01T09:29:23.356+11:00"
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pc"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "trial-use"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 3
        }
    ],
    "url": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
    "identifier":  [
        {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:oid:2.16.840.1.113883.4.642.4.1075"
        }
    ],
    "version": "4.0.1",
    "name": "ConditionVerificationStatus",
    "title": "ConditionVerificationStatus",
    "status": "draft",
    "experimental": false,
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7 (FHIR Project)",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://hl7.org/fhir"
                },
                {
                    "system": "email",
                    "value": "fhir@lists.hl7.org"
                }
            ]
        }
    ],
    "description": "The verification status to support or decline the clinical status of the condition or diagnosis.",
    "caseSensitive": true,
    "valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status",
    "content": "complete",
    "concept":  [
        {
            "code": "unconfirmed",
            "display": "Unconfirmed",
            "definition": "There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition.",
            "concept":  [
                {
                    "code": "provisional",
                    "display": "Provisional",
                    "definition": "This is a tentative diagnosis - still a candidate that is under consideration."
                },
                {
                    "code": "differential",
                    "display": "Differential",
                    "definition": "One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment."
                }
            ]
        },
        {
            "code": "confirmed",
            "display": "Confirmed",
            "definition": "There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition."
        },
        {
            "code": "refuted",
            "display": "Refuted",
            "definition": "This condition has been ruled out by diagnostic and clinical evidence."
        },
        {
            "code": "entered-in-error",
            "display": "Entered in Error",
            "definition": "The statement was entered in error and is not valid."
        }
    ]
}


category

A category assigned to the condition.

This should be coded where possible using ValueSet UKCore-ConditionCategory.


severity

A subjective assessment of the severity of the condition as evaluated by the clinician.


code

Identification of the condition, problem or diagnosis.

This should be coded using SNOMED CT where possible using ValueSet UKCore-ConditionCode.


bodysite

Anatomical location, if relevant. Only used if not implicit in code found in Condition.code.

This should be coded using SNOMED CT where possible using ValueSet UKCore-BodySite.


subject

Who has the condition? Profiled as a reference. The resource being referenced should conform to one of the following:

Note: FHIR also allows a reference to Group.


encounter

Encounter created as part of. The resource being referenced should conform to the following:


onset[x]

Estimated or actual date, date-time, or age.


abatement[x]

When in resolution/remission.


recordedDate

Date record was first recorded.


recorder

Who recorded the condition as a reference. The resource being referenced should conform to one of the following:


asserter

Person who asserts this condition as a reference. The resource being referenced should conform to one of the following:


stage

Clinical stage or grade of a condition. May include formal severity assessments.


evidence

Supporting evidence.


note

Additional information about the Condition.


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