{ "resourceType": "StructureDefinition", "id": "Condition", "meta": { "lastUpdated": "2017-04-18T21:44:43.294+00:00" }, "text": { "status": "generated", "div": "
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\"ConditionIDomainResourceDetailed information about conditions, problems or diagnoses\n
+ If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
+ Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
Elements defined in Ancestors: \n id, \n meta, \n implicitRules, \n language, \n text, \n contained, \n extension, \n modifierExtension
\".\"\".\"\".\"identifierΣ0..*IdentifierExternal Ids for this condition\n
\".\"\".\"\".\"clinicalStatus?!ΣI0..1codeactive | recurrence | inactive | remission | resolved\n
Condition Clinical Status Codes (\n Required)\n
\".\"\".\"\".\"verificationStatus?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown\n
ConditionVerificationStatus (\n Required)\n
\".\"\".\"\".\"category0..*CodeableConceptproblem-list-item | encounter-diagnosis\n
Condition Category Codes (\n Example)\n
\".\"\".\"\".\"severity0..1CodeableConceptSubjective severity of condition\n
Condition/Diagnosis Severity (\n Preferred)\n
\".\"\".\"\".\"codeΣ0..1CodeableConceptIdentification of the condition, problem or diagnosis\n
Condition/Problem/Diagnosis Codes (\n Example)\n
\".\"\".\"\".\"bodySiteΣ0..*CodeableConceptAnatomical location, if relevant\n
SNOMED CT Body Structures (\n Example)\n
\".\"\".\"\".\"subjectΣ1..1Reference(\n Patient | \n Group)\n Who has the condition?
\".\"\".\"\".\"contextΣ0..1Reference(\n Encounter | \n EpisodeOfCare)\n Encounter or episode when condition first asserted
\".\"\".\"\".\"onset[x]Σ0..1Estimated or actual date, date-time, or age
\".\"\".\"\".\"\".\"onsetDateTimedateTime
\".\"\".\"\".\"\".\"onsetAgeAge
\".\"\".\"\".\"\".\"onsetPeriodPeriod
\".\"\".\"\".\"\".\"onsetRangeRange
\".\"\".\"\".\"\".\"onsetStringstring
\".\"\".\"\".\"abatement[x]I0..1If/when in resolution/remission
\".\"\".\"\".\"\".\"abatementDateTimedateTime
\".\"\".\"\".\"\".\"abatementAgeAge
\".\"\".\"\".\"\".\"abatementBooleanboolean
\".\"\".\"\".\"\".\"abatementPeriodPeriod
\".\"\".\"\".\"\".\"abatementRangeRange
\".\"\".\"\".\"\".\"abatementStringstring
\".\"\".\"\".\"assertedDateΣ0..1dateTimeDate record was believed accurate
\".\"\".\"\".\"asserterΣ0..1Reference(\n Practitioner | \n Patient | \n RelatedPerson)\n Person who asserts this condition
\".\"\".\"\".\"stageI0..1BackboneElementStage/grade, usually assessed formally\n
+ Stage SHALL have summary or assessment
\".\"\".\"\".\"\".\"summaryI0..1CodeableConceptSimple summary (disease specific)\n
Condition Stage (\n Example)\n
\".\"\".\"\".\"\".\"assessmentI0..*Reference(\n ClinicalImpression | \n DiagnosticReport | \n Observation)\n Formal record of assessment\n
\".\"\".\"\".\"evidenceI0..*BackboneElementSupporting evidence\n
+ evidence SHALL have code or details
\".\"\".\"\".\"\".\"codeΣI0..*CodeableConceptManifestation/symptom\n
Manifestation and Symptom Codes (\n Example)\n
\".\"\".\"\".\"\".\"detailΣI0..*Reference(\n Any)\n Supporting information found elsewhere\n
\".\"\".\"\".\"note0..*AnnotationAdditional information about the Condition\n

\"doco\" Documentation for this format\n
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 3 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pc" } ], "url": "http://hl7.org/fhir/StructureDefinition/Condition", "name": "Condition", "status": "draft", "date": "2017-04-18T21:44:43+00:00", "publisher": "Health Level Seven International (Patient Care)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/patientcare/index.cfm" } ] } ], "description": "Base StructureDefinition for Condition Resource", "fhirVersion": "3.0.1", "mapping": [ { "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/w5", "name": "W5 Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.info/sct", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "derivation": "specialization", "snapshot": { "element": [ { "id": "Condition", "path": "Condition", "short": "Detailed information about conditions, problems or diagnoses", "definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.", "min": 0, "max": "*", "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "DomainResource" }, { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression": "contained.text.empty()", "xpath": "not(parent::f:contained and f:text)", "source": "DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "DomainResource" }, { "key": "con-4", "severity": "error", "human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission", "expression": "abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'", "xpath": "not(f:abatementBoolean/@value=true() or (not(exists(f:abatementBoolean)) and exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive'))" }, { "key": "con-3", "severity": "error", "human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error", "expression": "verificationStatus='entered-in-error' or clinicalStatus.exists()", "xpath": "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "sct-concept", "map": "< 243796009 |Situation with explicit context|:\n246090004 |Associated finding| =\n((< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) OR\n< 272379006 |Event|)" }, { "identity": "v2", "map": "PPR message" }, { "identity": "rim", "map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value id.count())", "xpath": "@value|f:*|h:div", "source": "Element" }, { "key": "con-1", "severity": "error", "human": "Stage SHALL have summary or assessment", "expression": "summary.exists() or assessment.exists()", "xpath": "exists(f:summary) or exists(f:assessment)" } ], "mapping": [ { "identity": "rim", "map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]" } ] }, { "id": "Condition.stage.id", "path": "Condition.stage.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.stage.extension", "path": "Condition.stage.extension", "short": "Additional Content defined by implementations", "definition": "May 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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.stage.modifierExtension", "path": "Condition.stage.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.", "comment": "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.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.stage.summary", "path": "Condition.stage.summary", "short": "Simple summary (disease specific)", "definition": "A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "condition": [ "con-1" ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionStage" } ], "strength": "example", "description": "Codes describing condition stages (e.g. Cancer stages).", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-stage" } }, "mapping": [ { "identity": "sct-concept", "map": "< 254291000 |Staging and scales|" }, { "identity": "v2", "map": "PRB-14" }, { "identity": "rim", "map": ".value" } ] }, { "id": "Condition.stage.assessment", "path": "Condition.stage.assessment", "short": "Formal record of assessment", "definition": "Reference to a formal record of the evidence on which the staging assessment is based.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation" } ], "condition": [ "con-1" ], "mapping": [ { "identity": "rim", "map": ".self" } ] }, { "id": "Condition.evidence", "path": "Condition.evidence", "short": "Supporting evidence", "definition": "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.", "comment": "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "Element" }, { "key": "con-2", "severity": "error", "human": "evidence SHALL have code or details", "expression": "code.exists() or detail.exists()", "xpath": "exists(f:code) or exists(f:detail)" } ], "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "Condition.evidence.id", "path": "Condition.evidence.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.evidence.extension", "path": "Condition.evidence.extension", "short": "Additional Content defined by implementations", "definition": "May 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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.evidence.modifierExtension", "path": "Condition.evidence.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element 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.", "comment": "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.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.evidence.code", "path": "Condition.evidence.code", "short": "Manifestation/symptom", "definition": "A manifestation or symptom that led to the recording of this condition.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "condition": [ "con-2" ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ManifestationOrSymptom" } ], "strength": "example", "description": "Codes that describe the manifestation or symptoms of a condition.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/manifestation-or-symptom" } }, "mapping": [ { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "rim", "map": "[code=\"diagnosis\"].value" }, { "identity": "w5", "map": "why" } ] }, { "id": "Condition.evidence.detail", "path": "Condition.evidence.detail", "short": "Supporting information found elsewhere", "definition": "Links to other relevant information, including pathology reports.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "condition": [ "con-2" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".self" }, { "identity": "w5", "map": "why" } ] }, { "id": "Condition.note", "path": "Condition.note", "short": "Additional information about the Condition", "definition": "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.", "min": 0, "max": "*", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "v2", "map": "NTE child of PRB" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] } ] }, "differential": { "element": [ { "id": "Condition", "path": "Condition", "short": "Detailed information about conditions, problems or diagnoses", "definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.", "min": 0, "max": "*", "constraint": [ { "key": "con-4", "severity": "error", "human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission", "expression": "abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'", "xpath": "not(f:abatementBoolean/@value=true() or (not(exists(f:abatementBoolean)) and exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive'))" }, { "key": "con-3", "severity": "error", "human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error", "expression": "verificationStatus='entered-in-error' or clinicalStatus.exists()", "xpath": "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)" } ], "mapping": [ { "identity": "sct-concept", "map": "< 243796009 |Situation with explicit context|:\n246090004 |Associated finding| =\n((< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) OR\n< 272379006 |Event|)" }, { "identity": "v2", "map": "PPR message" }, { "identity": "rim", "map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value