<status value="active" /> <date value="2022-10-15T12:00:00+00:00" /> <publisher value="Ontario Health" /> <description value="This profile defines a set of constraints to the FHIR Condition resource for use in Ontario Patient Summaries (PS-ON). It refines constraints applied constraints applied to the Condition resource by the PS-CA project, which is informed by the constraints of the [Condition-UV-IPS profile](http://hl7.org/fhir/uv/ips/StructureDefinition-Condition-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-condition.html) to allow for cross-border and cross-jurisdiction sharing of A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Condition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" /> <derivation value="constraint" /> <differential> <element id="Condition.meta"> <path value="Condition.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.meta.profile"> <path value="Condition.meta.profile" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus" /> <comment value="Some implementers may not capture status directly as a field for condition, but have other means of differentiating between current and historical conditions. Implementers are expected to be able to differentiate between active and inactive conditions to generate a compliant patient summary" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus" /> <comment value="This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. While the IPS-UV specification considers this a MS element, some systems will not have a field directly representing verificationStatus, further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element using additional data from the system when developing the patient summary instance" /> </element> <element id="Condition.category"> <path value="Condition.category" /> <definition value="A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'." /> <comment value="While IPS-UV considers this a MS element, some systems will not have a field directly representing category but it may be possible to hardcode. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element using additional data from the system when developing the patient summary instance. If this element is relaxed in the first release the constraint on the data type will also be relaxed." /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" /> </type> </element> <element id="Condition.category.coding.display.extension:translation"> <path value="Condition.category.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.category.coding.display.extension:translation.url"> <path value="Condition.category.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.severity"> <path value="Condition.severity" /> <comment value="While IPS-UV considers this a MS element, some systems will not have a field directly representing severity. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance. If this element is relaxed in the first release the constraint on the data type will also be relaxed." /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" /> </type> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/severitycode" /> </binding> </element> <element id="Condition.severity.coding"> <path value="Condition.severity.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Discriminated by value set" /> <rules value="open" /> </slicing> </element> <element id="Condition.severity.coding.display.extension:translation"> <path value="Condition.severity.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.severity.coding.display.extension:translation.url"> <path value="Condition.severity.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.severity.coding:severitySCTCA"> <path value="Condition.severity.coding" /> <sliceName value="severitySCTCA" /> <short value="Optional slice for representing the severity of a problem from the SNOMED CT Canadian edition value set." /> <definition value="Code for the severity of a problem that is selected from the SNOMED CT Canadian edition value set." /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="severitySCTCA" /> </extension> <strength value="required" /> <description value="severitySCTCA" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/severitycode" /> </binding> </element> <element id="Condition.severity.coding:severitySCTCA.display.extension:translation"> <path value="Condition.severity.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.severity.coding:severitySCTCA.display.extension:translation.url"> <path value="Condition.severity.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.code"> <path value="Condition.code" /> <definition value="Identification of the condition, problem or diagnosis or recording of "problem absent" or of "problems unknown"." /> <comment value="Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for condition.code" /> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" /> </type> <mustSupport value="true" /> <binding> <strength value="preferred" /> <description value="Codes for problems from the SNOMED CT Canadian edition value set" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode" /> </binding> </element> <element id="Condition.code.coding"> <path value="Condition.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <description value="Discriminated by the bound value set" /> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="Condition.code.coding.display.extension:translation"> <path value="Condition.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.code.coding.display.extension:translation.url"> <path value="Condition.code.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.code.coding:codeSCTCA"> <path value="Condition.code.coding" /> <sliceName value="codeSCTCA" /> <short value="Optional slice for representing the code for a problem from the SNOMED CT Canadian edition value set" /> <definition value="Code for representing the code for a problem that is selected from the SNOMED CT Canadian edition value set." /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Codes for problems from the SNOMED CT Canadian edition value set" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode" /> </binding> </element> <element id="Condition.code.coding:codeSCTCA.display.extension:translation"> <path value="Condition.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.code.coding:codeSCTCA.display.extension:translation.url"> <path value="Condition.code.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.code.coding:absentOrUnknownProblem"> <path value="Condition.code.coding" /> <sliceName value="absentOrUnknownProblem" /> <short value="Optional slice for representing the code for absent problem or for unknown problem" /> <definition value="Code representing the statement "absent problem" or the statement "problems unknown"" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="absentOrUnknownProblem" /> </extension> <strength value="required" /> <description value="Absent problem or unknown problem" /> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips" /> </binding> </element> <element id="Condition.code.coding:absentOrUnknownProblem.display.extension:translation"> <path value="Condition.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.code.coding:absentOrUnknownProblem.display.extension:translation.url"> <path value="Condition.code.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.code.coding:codeICD9CM"> <path value="Condition.code.coding" /> <sliceName value="codeICD9CM" /> <short value="Code for representing the code for a problem that is selected from ICD-9 CM" /> <definition value="Code for representing the code for a problem that is selected from ICD-9 CM" /> <binding> <strength value="required" /> <description value="Any code from ICD-9 CM." /> <valueSet value="http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD9CM" /> </binding> </element> <element id="Condition.code.coding:codeICD9CM.display.extension:translation"> <path value="Condition.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.code.coding:codeICD9CM.display.extension:translation.url"> <path value="Condition.code.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.code.coding:codeICD10CA"> <path value="Condition.code.coding" /> <sliceName value="codeICD10CA" /> <short value="Code for representing the code for a problem that is selected from ICD-10 CA" /> <definition value="Code for representing the code for a problem that is selected from ICD-10 CA" /> <binding> <strength value="required" /> <description value="Any code from ICD-10 CA." /> <valueSet value="http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD10CA" /> </binding> </element> <element id="Condition.code.coding:codeICD10CA.display.extension:translation"> <path value="Condition.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.code.coding:codeICD10CA.display.extension:translation.url"> <path value="Condition.code.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" /> </type> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode" /> </binding> </element> <element id="Condition.bodySite.coding.display.extension:translation"> <path value="Condition.bodySite.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Condition.bodySite.coding.display.extension:translation.url"> <path value="Condition.bodySite.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="Condition.subject.reference"> <path value="Condition.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <comment value="IPS-UV constrains the condition onset element to only DateTime and Period data types. Both IPS-UV and PS-ON prefer the use of onsetDateTime" /> <mustSupport value="true" /> </element> <element id="Condition.onset[x]:onsetDateTime"> <path value="Condition.onset[x]" /> <sliceName value="onsetDateTime" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="Condition.onset[x]:onsetPeriod"> <path value="Condition.onset[x]" /> <sliceName value="onsetPeriod" /> <type> <code value="Period" /> </type> </element> </differential> </StructureDefinition>