{
  "resourceType": "StructureDefinition",
  "id": "a1caebf4-fe18-4f9e-a293-1634fb2d0a96",
  "meta": {
    "lastUpdated": "2022-01-07T19:21:22.003+00:00"
  },
  "language": "Norsk",
  "url": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition",
  "name": "KjConditionCriticalMedicalCondition",
  "status": "active",
  "date": "2020-10-05T11:53:44.7974874+00:00",
  "fhirVersion": "4.0.1",
  "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": 1
      },
      {
        "id": "Condition.extension:sourceOfInformation",
        "path": "Condition.extension",
        "sliceName": "sourceOfInformation",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nhn.no/kj/fhir/StructureDefinition/KjSourceOfInformation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:updater",
        "path": "Condition.extension",
        "sliceName": "updater",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nhn.no/kj/fhir/StructureDefinition/KjUpdater"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:updater.value[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.extension:updatedDateTime",
        "path": "Condition.extension",
        "sliceName": "updatedDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nhn.no/kj/fhir/StructureDefinition/KjUpdatedDateTime"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:updatedDateTime.value[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "short": "active | inactive",
        "definition": "The clinical status of the condition. Either active or inactive. Rest of the options should return an error.",
        "comment": "We only accept Active and Inactive. The other values would return an error message. Active = normal, Inactive = Disproved or delete.(based on verificationStatus)",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://nhn.no/kj/fhir/ValueSet/ConditionClinicalStatus"
        }
      },
      {
        "id": "Condition.clinicalStatus.coding",
        "path": "Condition.clinicalStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "short": "confirmed | refuted | entered-in-error",
        "definition": "Confirmed = normal, Refuted = avkreftet, Entered-in-error = slettet. Other codes should return an error msg.",
        "comment": "-",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://nhn.no/kj/fhir/ValueSet/ConditionVerificationStatus"
        }
      },
      {
        "id": "Condition.verificationStatus.coding",
        "path": "Condition.verificationStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "short": "Type of critical information",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://nhn.no/kj/fhir/ValueSet/ConditionCategory"
        }
      },
      {
        "id": "Condition.category.coding",
        "path": "Condition.category.coding",
        "definition": "Valueset with codes from code system : urn:oid:2.16.578.1.12.4.1.1.7651\r\nValid codes to use:\r\n5 - Kritisk medisinsk tilstand",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://nhn.no/kj/fhir/ValueSet/ConditionCategory"
        }
      },
      {
        "id": "Condition.category.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.category.coding.system",
        "short": "Types of critical information",
        "definition": "This code system should denote what type of critical information is registered here.",
        "min": 1,
        "fixedUri": "http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation"
      },
      {
        "id": "Condition.category.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.category.coding.code",
        "min": 1,
        "fixedCode": "5"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1,
        "condition": [
          "kj-cmc-4"
        ],
        "constraint": [
          {
            "key": "kj-cmc-4",
            "severity": "error",
            "human": "Coding and text are mutually exclusive",
            "expression": "(coding.empty() and text.exists()) or (coding.exists() and text.empty())",
            "source": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:CriticalMedicalConditionAbsoluteList",
        "path": "Condition.code.coding",
        "sliceName": "CriticalMedicalConditionAbsoluteList",
        "max": "1"
      },
      {
        "id": "Condition.code.coding:CriticalMedicalConditionAbsoluteList.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.system",
        "fixedUri": "http://nhn.no/kj/fhir/CodeSystem/CriticalMedicalConditionAbsoluteList"
      },
      {
        "id": "Condition.code.coding:CriticalMedicalConditionAbsoluteList.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding:ICD-10",
        "path": "Condition.code.coding",
        "sliceName": "ICD-10",
        "max": "1"
      },
      {
        "id": "Condition.code.coding:ICD-10.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.system",
        "fixedUri": "http://nhn.no/kj/fhir/CodeSystem/ICD-10"
      },
      {
        "id": "Condition.code.coding:ICD-10.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.text",
        "condition": [
          "kj-cmc-2"
        ],
        "constraint": [
          {
            "key": "kj-cmc-2",
            "severity": "error",
            "human": "Text can be maximum 80 characters",
            "expression": "value.length() <= 80",
            "source": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.onset[x]",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Age"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.abatement[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.abatement[x]"
      },
      {
        "id": "Condition.recordedDate",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.recordedDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "definition": "Here one should use PractitionerRole, since it is important to register the practitoner and the organization the person worked at when this condition was registered.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nhn.no/kj/fhir/StructureDefinition/KjPractitionerRole"
            ],
            "aggregation": [
              "contained"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.evidence.code",
        "path": "Condition.evidence.code",
        "min": 1,
        "max": "1",
        "condition": [
          "kj-cmc-5"
        ],
        "constraint": [
          {
            "key": "kj-cmc-5",
            "severity": "error",
            "human": "Coding and text are mutually exclusive",
            "expression": "(coding.empty() and text.exists()) or (coding.exists() and text.empty())",
            "source": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition"
          }
        ]
      },
      {
        "id": "Condition.evidence.code.coding",
        "path": "Condition.evidence.code.coding",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://nhn.no/kj/fhir/ValueSet/CriticalMedicalConditionReason"
        }
      },
      {
        "id": "Condition.evidence.code.coding.code",
        "path": "Condition.evidence.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.evidence.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.evidence.code.text",
        "condition": [
          "kj-cmc-3"
        ],
        "constraint": [
          {
            "key": "kj-cmc-3",
            "severity": "error",
            "human": "Text can be maximum 80 characters",
            "expression": "value.length() <= 80",
            "source": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "max": "1",
        "condition": [
          "kj-cmc-1"
        ],
        "constraint": [
          {
            "key": "kj-cmc-1",
            "severity": "error",
            "human": "If note is present, then text must be between 4 and 500 characters.",
            "expression": "empty() or (first().text.value.length() >=4 and first().text.value.length() <= 500)",
            "source": "http://nhn.no/kj/fhir/StructureDefinition/KjConditionCriticalMedicalCondition"
          }
        ],
        "mustSupport": true
      }
    ]
  }
}