<status value="draft" /> <date value="2021-05-07T11:38:34.2029829+00:00" /> <publisher value="OMD" /> <description value="Proposed constraints and extensions on the Condition Resource" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> <display value="Canada" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="CDSS5.1" /> <uri value="www.ontariomd.com" /> <name value="CDS-S 5.1" /> </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"> <path value="Condition" /> <short value="Condition Profile" /> <definition value="The Condition Profile is based upon the core FHIR Condition Resource" /> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus" /> <definition value="BASE RESOURCE DEFINITION: The clinical status of the condition. CDS-S PROFILE DEFINITION: The status of the problem or the diagnosed disease, often using only a few words (e.g., active, in remission)." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE06.006" /> <comment value="Problem Status" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE07.008" /> <comment value="Problem Status" /> </mapping> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus" /> <mustSupport value="true" /> </element> <element id="Condition.category"> <path value="Condition.category" /> <mustSupport value="true" /> </element> <element id="Condition.code"> <path value="Condition.code" /> <definition value="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 value="1" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding"> <path value="Condition.code.coding" /> <definition value="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 value="1" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding.code"> <path value="Condition.code.coding.code" /> <definition value="BASE RESOURCE DEFINITION: A 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). CDS-S PROFILE DEFINITION: A description (e.g., name, label) that identifies the patient's problem or diagnosed disease (e.g., Anxiety, Diabetes Melitus Type II)." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE06.004" /> <comment value="Diagnosis/Problem" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE07.004" /> <comment value="Diagnosis/Problme" /> </mapping> </element> <element id="Condition.code.text"> <path value="Condition.code.text" /> <definition value="BASE RESOURCE DEFINITION: A 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. CDS-S PROFILE DEFINITION (Ongoing Health Conditions - Problem Description): A description of the problem reported. Used to express a synopsis of progress or additional details about the health concern, problem or diagnosis. CDS-S PROFILE DEFINITION (Risk Factors - Risk Factor): The factors that mght place the patient at health risk (e.g., drinking, smoking, obesity, exposure to asbestos, premature birth). CDS-S PROFILE DEFINITION (Alerts & Special Needs - Alert Description): Description of the alert or special need." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE06.005" /> <comment value="Problem Description" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE12.001" /> <comment value="Risk Factor" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE13.001" /> <comment value="Alert Description" /> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="Condition.encounter"> <path value="Condition.encounter" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" /> </type> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <definition value="BASE RESOURCE DEFINITION: Estimated or actual date or date-time the condition began, in the opinion of the clinician." /> <mustSupport value="true" /> </element> <element id="Condition.onset[x]:onsetAge"> <path value="Condition.onset[x]" /> <sliceName value="onsetAge" /> <definition value="BASE RESOURCE DEFINITION: Estimated or actual date or date-time the condition began, in the opinion of the clinician. CDS-S PROFILE DEFINITION (Risk Factors- Age at Onset): The age of the patient at the onset of the condition." /> <type> <code value="Age" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE12.003" /> <comment value="Age at Onset" /> </mapping> </element> <element id="Condition.onset[x]:onsetString"> <path value="Condition.onset[x]" /> <sliceName value="onsetString" /> <definition value="BASE RESOURCE DEFINITION: Estimated or actual date or date-time the condition began, in the opinion of the clinician. CDS-S PROFILE DEFINITION (Ongoing Health Conditions - Life Stage): The stage of life that the patient was at the onset of the condition (problem or diagnosed disease) CDS-S PROFILE DEFINITION (Past Medical & Surgical History - Life Stage): The stage of life that the patient was at the onset of the condition (problem or diagnosed disease)" /> <comment value="Age is generally used when the patient reports an age at which the Condition began to occur. CODE SET TABLE: CT-016: Life Stage" /> <type> <code value="string" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Refer to CT-016: Life Stage" /> <valueSet value="https://simplifier.net/guide/CoreDataSetStandardCDS-SImplementationGuidance/PatientDemographicCodeTablesCT-006toCT-016" /> </binding> <mapping> <identity value="CDSS5.1" /> <map value="DE06.002" /> <comment value="Life Stage" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE07.002" /> <comment value="Life Stage" /> </mapping> </element> <element id="Condition.onset[x]:onsetPeriod"> <path value="Condition.onset[x]" /> <sliceName value="onsetPeriod" /> <type> <code value="Period" /> <profile value="https://simplifier.net/omd-cdss/conditiononset" /> </type> </element> <element id="Condition.onset[x]:onsetDateTime"> <path value="Condition.onset[x]" /> <sliceName value="onsetDateTime" /> <definition value="BASE RESOURCE DEFINITION: Estimated or actual date or date-time the condition began, in the opinion of the clinician. CDS-S PROFILE DEFINITION (Risk Factors - Start Date): The date that the patient was first exposed to the risk factor. CDS-S PROFILE DEFINITION (Alerts & Special Needs - Date Active): The date that the alert or special need was identified as active for the first time." /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE12.004" /> <comment value="Start Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE13.003" /> <comment value="Date Active" /> </mapping> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]" /> <definition value="BASE RESOURCE DEFINITION: The 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. CDS-S PROFILE DEFINITION (Ongoing Health Conditions - Resolution Date): The date when the problem or the diagnosed disease was resolved or controlled. CDS-S PROFILE DEFINITION (Past Medical and Surgical History - Resolution Date): The date when the problem or the diagnosed disease was resolved or controlled. CDS-S PROFILE DEFINITION (Risk Factors - End Date): (Condition.abatement.abatementDateTime) - The date the patient was last exposed to the risk factor. CDS-S PROFILE DEFINITION (Alerts & Special Needs- End Date): (Condition.abatement.abatementDateTime) - Date the alert or special need was identified as no longer active." /> <type> <code value="dateTime" /> </type> <type> <code value="Age" /> </type> <type> <code value="Period" /> <profile value="http://example.org/fhir/StructureDefinition/AbatementPeriod" /> </type> <type> <code value="Range" /> </type> <type> <code value="string" /> </type> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE06.003" /> <comment value="Resolution Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE07.003" /> <comment value="Resolution Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE12.004" /> <comment value="End Date" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE13.004" /> <comment value="End Date" /> </mapping> </element> <element id="Condition.recorder"> <path value="Condition.recorder" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Condition.asserter"> <path value="Condition.asserter" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Condition.evidence.code"> <path value="Condition.evidence.code" /> <definition value="BASE RESOURCE DEFINITION: A manifestation or symptom that led to the recording of this condition. CDS-S PROFILE DEFINITION (Risk Factors): Specific agent details of the exposure (e.g., 2 packs a day; 10 bottles of wine per week)" /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE12.002" /> <comment value="Exposure Details" /> </mapping> </element> <element id="Condition.note"> <path value="Condition.note" /> <definition value="BASE RESOURCE DEFINITION: Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. CDS-S PROFILE DEFINITION (Ongoing Health Conditions - Notes): Additional notes about the problem or the diagnosed disease. CDS-S PROFILE DEFINITION (Past Medical & Surgical History - Notes): Additional notes about the "Past Medical and Surgical" medical records. "Notes" apply to Problems, Diagnosis, and Procedure medical records. If note pertains to procedure, then use "Procedure.note" instead. CDS-S PROFILE DEFINITION (Risk Factors - Notes): Additional Notes about the risk factor. CDS-S PROFILE DEFINITION (Alerts & Special Needs - Notes): Additioal notes about an alert or special need." /> <mustSupport value="true" /> <mapping> <identity value="CDSS5.1" /> <map value="DE06.007" /> <comment value="Notes" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE07.007" /> <comment value="Notes" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE12.007" /> <comment value="Notes" /> </mapping> <mapping> <identity value="CDSS5.1" /> <map value="DE13.002" /> <comment value="Notes" /> </mapping> </element> </differential> </StructureDefinition>