{ "resourceType": "StructureDefinition", "id": "profile-condition", "meta": { "lastUpdated": "2024-10-17T18:16:26.3218965+00:00" }, "url": "https://simplifier.net/omd-cdss/conditionprofile", "version": "0.2", "name": "ConditionProfile", "title": "Condition Profile", "status": "draft", "date": "2021-05-07T11:38:34.2029829+00:00", "publisher": "OMD", "description": "Proposed constraints and extensions on the Condition Resource", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "CA", "display": "Canada" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "CDSS5.1", "uri": "www.ontariomd.com", "name": "CDS-S 5.1" } ], "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition", "derivation": "constraint", "differential": { "element": [ { "id": "Condition", "path": "Condition", "short": "Condition Profile", "definition": "The Condition Profile is based upon the core FHIR Condition Resource" }, { "id": "Condition.clinicalStatus", "path": "Condition.clinicalStatus", "definition": "BASE RESOURCE DEFINITION:\r\nThe clinical status of the condition.\r\n\r\nCDS-S PROFILE DEFINITION:\r\nThe status of the problem or the diagnosed disease, often using only a few words (e.g., active, in remission).", "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.006", "comment": "Problem Status" }, { "identity": "CDSS5.1", "map": "DE07.008", "comment": "Problem Status" } ] }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "mustSupport": true }, { "id": "Condition.category", "path": "Condition.category", "mustSupport": true }, { "id": "Condition.code", "path": "Condition.code", "definition": "Identification of the patient's relevant condition, problem or diagnosis or recording of 'problem absent' or of 'problems unknown', as interpreted by the provider.", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding", "path": "Condition.code.coding", "definition": "Identification of the patient's relevant condition, problem or diagnosis or recording of 'problem absent' or of 'problems unknown', as interpreted by the provider.", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding.code", "path": "Condition.code.coding.code", "definition": "BASE RESOURCE DEFINITION:\r\nA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).\r\n\r\nCDS-S PROFILE DEFINITION:\r\nA description (e.g., name, label) that identifies the patient's problem or diagnosed disease (e.g., Anxiety, Diabetes Melitus Type II).", "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.004", "comment": "Diagnosis/Problem" }, { "identity": "CDSS5.1", "map": "DE07.004", "comment": "Diagnosis/Problme" } ] }, { "id": "Condition.code.text", "path": "Condition.code.text", "definition": "BASE RESOURCE DEFINITION:\r\nA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.\r\n\r\nCDS-S PROFILE DEFINITION (Ongoing Health Conditions - Problem Description):\r\nA description of the problem reported. Used to express a synopsis of progress or additional details about the health concern, problem or diagnosis.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors - Risk Factor): \r\nThe factors that mght place the patient at health risk (e.g., drinking, smoking, obesity, exposure to asbestos, premature birth). \r\n\r\nCDS-S PROFILE DEFINITION (Alerts & Special Needs - Alert Description): \r\nDescription of the alert or special need.", "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.005", "comment": "Problem Description" }, { "identity": "CDSS5.1", "map": "DE12.001", "comment": "Risk Factor" }, { "identity": "CDSS5.1", "map": "DE13.001", "comment": "Alert Description" } ] }, { "id": "Condition.subject", "path": "Condition.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" ] } ], "mustSupport": true }, { "id": "Condition.encounter", "path": "Condition.encounter", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" ] } ] }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" }, "definition": "BASE RESOURCE DEFINITION:\r\nEstimated or actual date or date-time the condition began, in the opinion of the clinician.", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge", "path": "Condition.onset[x]", "sliceName": "onsetAge", "definition": "BASE RESOURCE DEFINITION: \r\nEstimated or actual date or date-time the condition began, in the opinion of the clinician.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors- Age at Onset): \r\nThe age of the patient at the onset of the condition.", "type": [ { "code": "Age" } ], "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE12.003", "comment": "Age at Onset" } ] }, { "id": "Condition.onset[x]:onsetString", "path": "Condition.onset[x]", "sliceName": "onsetString", "definition": "BASE RESOURCE DEFINITION: \r\nEstimated or actual date or date-time the condition began, in the opinion of the clinician.\r\n\r\nCDS-S PROFILE DEFINITION (Ongoing Health Conditions - Life Stage): \r\nThe stage of life that the patient was at the onset of the condition (problem or diagnosed disease)\r\n\r\nCDS-S PROFILE DEFINITION (Past Medical & Surgical History - Life Stage): \r\nThe stage of life that the patient was at the onset of the condition (problem or diagnosed disease)", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.\r\n\r\nCODE SET TABLE: \r\nCT-016: Life Stage", "type": [ { "code": "string" } ], "mustSupport": true, "binding": { "strength": "required", "description": "Refer to CT-016: Life Stage", "valueSet": "https://simplifier.net/guide/CoreDataSetStandardCDS-SImplementationGuidance/PatientDemographicCodeTablesCT-006toCT-016" }, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.002", "comment": "Life Stage" }, { "identity": "CDSS5.1", "map": "DE07.002", "comment": "Life Stage" } ] }, { "id": "Condition.onset[x]:onsetPeriod", "path": "Condition.onset[x]", "sliceName": "onsetPeriod", "type": [ { "code": "Period", "profile": [ "https://simplifier.net/omd-cdss/conditiononset" ] } ] }, { "id": "Condition.onset[x]:onsetDateTime", "path": "Condition.onset[x]", "sliceName": "onsetDateTime", "definition": "BASE RESOURCE DEFINITION:\r\nEstimated or actual date or date-time the condition began, in the opinion of the clinician.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors - Start Date): \r\nThe date that the patient was first exposed to the risk factor. \r\n\r\nCDS-S PROFILE DEFINITION (Alerts & Special Needs - Date Active): \r\nThe date that the alert or special need was identified as active for the first time.", "type": [ { "code": "dateTime" } ], "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE12.004", "comment": "Start Date" }, { "identity": "CDSS5.1", "map": "DE13.003", "comment": "Date Active" } ] }, { "id": "Condition.abatement[x]", "path": "Condition.abatement[x]", "definition": "BASE RESOURCE DEFINITION:\r\nThe date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.\r\n\r\nCDS-S PROFILE DEFINITION (Ongoing Health Conditions - Resolution Date):\r\nThe date when the problem or the diagnosed disease was resolved or controlled.\r\n\r\nCDS-S PROFILE DEFINITION (Past Medical and Surgical History - Resolution Date):\r\nThe date when the problem or the diagnosed disease was resolved or controlled.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors - End Date): \r\n(Condition.abatement.abatementDateTime) - The date the patient was last exposed to the risk factor. \r\n\r\nCDS-S PROFILE DEFINITION (Alerts & Special Needs- End Date): \r\n(Condition.abatement.abatementDateTime) - Date the alert or special need was identified as no longer active.", "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period", "profile": [ "http://example.org/fhir/StructureDefinition/AbatementPeriod" ] }, { "code": "Range" }, { "code": "string" } ], "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.003", "comment": "Resolution Date" }, { "identity": "CDSS5.1", "map": "DE07.003", "comment": "Resolution Date" }, { "identity": "CDSS5.1", "map": "DE12.004", "comment": "End Date" }, { "identity": "CDSS5.1", "map": "DE13.004", "comment": "End Date" } ] }, { "id": "Condition.recorder", "path": "Condition.recorder", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ] }, { "id": "Condition.asserter", "path": "Condition.asserter", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ] }, { "id": "Condition.evidence.code", "path": "Condition.evidence.code", "definition": "BASE RESOURCE DEFINITION:\r\nA manifestation or symptom that led to the recording of this condition.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors):\r\nSpecific agent details of the exposure (e.g., 2 packs a day; 10 bottles of wine per week)", "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE12.002", "comment": "Exposure Details" } ] }, { "id": "Condition.note", "path": "Condition.note", "definition": "BASE RESOURCE DEFINITION:\r\nAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.\r\n\r\nCDS-S PROFILE DEFINITION (Ongoing Health Conditions - Notes):\r\nAdditional notes about the problem or the diagnosed disease. \r\n\r\nCDS-S PROFILE DEFINITION (Past Medical & Surgical History - Notes): \r\nAdditional notes about the \"Past Medical and Surgical\" medical records. \r\n\r\n\"Notes\" apply to Problems, Diagnosis, and Procedure medical records. \r\n\r\nIf note pertains to procedure, then use \"Procedure.note\" instead.\r\n\r\nCDS-S PROFILE DEFINITION (Risk Factors - Notes): \r\nAdditional Notes about the risk factor. \r\n\r\nCDS-S PROFILE DEFINITION (Alerts & Special Needs - Notes): \r\nAdditioal notes about an alert or special need.", "mustSupport": true, "mapping": [ { "identity": "CDSS5.1", "map": "DE06.007", "comment": "Notes" }, { "identity": "CDSS5.1", "map": "DE07.007", "comment": "Notes" }, { "identity": "CDSS5.1", "map": "DE12.007", "comment": "Notes" }, { "identity": "CDSS5.1", "map": "DE13.002", "comment": "Notes" } ] } ] } }