{ "resourceType": "StructureDefinition", "id": "condition", "text": { "status": "extensions", "div": "

Generated Narrative: StructureDefinition condition

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\"\"\"\" Condition ConditionCACore
\"\"\"\"\"\" Condition.clinicalStatus O This element has obligations. 0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
ObligationsActor
MAY:populate-if-knownProducer
SHALL:no-errorConsumer
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.Slices for category 0..*CodeableConceptCACoreConcept - reference to a terminology or just text
Slice: Unordered, Open by value:coding.code
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Additional BindingsPurpose
ProblemTypeUvIps (2.0.1)Component
ProblemTypeLoinc (2.0.1)candidate

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
\"\"\"\"\"\"\"\" Condition.Slices for category.category:problemListItem O This element has obligations. 0..1CodeableConceptCACoreConcept - reference to a terminology or just text
ObligationsActor
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\"\"\"\"\" Condition.Slices for category.category:problemListItem.coding
\"\"\"\"\"\"\"\"\"\"\"\" Condition.Slices for category.category:problemListItem.coding.system 0..1uriIdentity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category (extensions allowed)
\"\"\"\"\"\"\"\"\"\"\"\" Condition.Slices for category.category:problemListItem.coding.code 1..1codeSymbol in syntax defined by the system
Required Pattern: problem-list-item (extensions allowed)
\"\"\"\"\"\" Condition.severity O This element has obligations. 0..1CodeableConceptCACoreConcept - reference to a terminology or just text
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.code O This element has obligations. 1..1PCareCodeableConceptConcept - reference to a terminology or just text
ObligationsActor
MAY:populate-if-knownProducer
SHALL:no-errorConsumer
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\"\"\" Condition.code.text O This element has obligations. C0..1stringPlain text representation of the concept
Constraints: pcare-con-1
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.bodySite O This element has obligations. 0..*CodeableConceptCACoreConcept - reference to a terminology or just text
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.subject O This element has obligations. 1..1Reference(P-Care Patient)Who has the condition?
ObligationsActor
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\"\"\" Condition.subject.reference O This element has obligations. 1..1stringLiteral reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.onset[x] O This element has obligations. 0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
ObligationsActor
MAY:populate-if-knownProducer
SHALL:no-errorConsumer
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.Slices for onset[x] Content/Rules for all slices
\"\"\"\"\"\"\"\" Condition.Slices for onset[x].onset[x]:onsetDateTime O This element has obligations. 0..1dateTimeEstimated or actual date, date-time, or age
ObligationsActor
SHALL:populate & SHOULD:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.abatement[x] O This element has obligations. 0..1dateTime, Age, Period, Range, stringWhen in resolution/remission
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.stage O This element has obligations. 0..*BackboneElementStage/grade, usually assessed formally
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server
\"\"\"\"\"\" Condition.note O This element has obligations. C0..*AnnotationAdditional information about the Condition
Constraints: pcare-con-2
ObligationsActor
SHALL:populate & SHALL:persist & SHALL:no-errorP-Care Server

\"doco\" Documentation for this format
" }, "url": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition", "version": "0.1.0", "name": "PCareCondition", "title": "P-Care Condition", "status": "draft", "date": "2026-10-19T22:14:59+00:00", "publisher": "Infoway", "description": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "CACDI", "name": "Canadian Core Data for Interoperability (CACDI)", "comment": "Mapping for ConditionCACore to Canadian Core Data for Interoperability (CACDI)." } ], "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core", "derivation": "constraint", "snapshot": { "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString": "1.1.0" } ], "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": "*", "base": { "path": "Condition", "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": "http://hl7.org/fhir/StructureDefinition/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": "http://hl7.org/fhir/StructureDefinition/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 or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "con-5", "severity": "error", "human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error", "expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()", "xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))", "source": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "key": "con-4", "severity": "error", "human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission", "expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()", "xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])", "source": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis." } ], "key": "con-3", "severity": "warning", "human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item", "expression": "clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()", "xpath": "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "sct-concept", "map": "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 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": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.meta", "path": "Condition.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.implicitRules", "path": "Condition.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.language", "path": "Condition.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.text", "path": "Condition.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Condition.contained", "path": "Condition.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.extension", "path": "Condition.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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 can 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": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.modifierExtension", "path": "Condition.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.identifier", "path": "Condition.identifier", "short": "External Ids for this condition", "definition": "Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.", "comment": "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements": "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.", "min": 0, "max": "*", "base": { "path": "Condition.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" } ] }, { "id": "Condition.clinicalStatus", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.clinicalStatus", "short": "active | recurrence | relapse | inactive | remission | resolved", "definition": "The clinical status of the condition.", "comment": "The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.", "min": 0, "max": "1", "base": { "path": "Condition.clinicalStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "con-3", "con-4", "con-5" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionClinicalStatus" } ], "strength": "required", "description": "The clinical status of the condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "sct-concept", "map": "< 303105007 |Disease phases|" }, { "identity": "v2", "map": "PRB-14" }, { "identity": "rim", "map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value" }, { "identity": "CACDI", "map": "Health Concern Clinical Status" } ] }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "short": "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error", "definition": "The verification status to support the clinical status of the condition.", "comment": "verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.\nThe data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.", "min": 0, "max": "1", "base": { "path": "Condition.verificationStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "con-3", "con-5" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "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.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionVerificationStatus" } ], "strength": "required", "description": "The verification status to support or decline the clinical status of the condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "sct-concept", "map": "< 410514004 |Finding context value|" }, { "identity": "v2", "map": "PRB-13" }, { "identity": "rim", "map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value" }, { "identity": "sct-attr", "map": "408729009" } ] }, { "id": "Condition.category", "path": "Condition.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding.code" } ], "rules": "open" }, "short": "Concept - reference to a terminology or just text", "definition": "A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Condition.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionCategory" }, { "extension": [ { "url": "key", "valueId": "component-problem-type-uv-ips" }, { "url": "purpose", "valueCode": "component" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips|2.0.1" }, { "url": "documentation", "valueMarkdown": "Component of extensible valueSet put forth in IPS to encourage the use condition records with the category code of 'problem-list-item' for use in the Problems Section and History of Past Illness Section." } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" }, { "extension": [ { "url": "key", "valueId": "candidate-problem-type-loinc" }, { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc|2.0.1" }, { "url": "documentation", "valueMarkdown": "Codes put forth in IPS to supply an additional binding to the LOINC \"Problem\" code - retained for backward compatibility. While not preferred for continued use this is also identified as an additional binding to reflect what legacy IPS instances may include (in alignment to IPS approach)." } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" } ], "strength": "extensible", "description": "A category assigned to the condition.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-category" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "v2", "map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message" }, { "identity": "rim", "map": ".code" } ] }, { "id": "Condition.category:problemListItem", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.category", "sliceName": "problemListItem", "short": "Concept - reference to a terminology or just text", "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Condition.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionCategory" } ], "strength": "extensible", "description": "A category assigned to the condition.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-category" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "v2", "map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message" }, { "identity": "rim", "map": ".code" } ] }, { "id": "Condition.category:problemListItem.id", "path": "Condition.category.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.category:problemListItem.extension", "path": "Condition.category.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.category:problemListItem.coding", "path": "Condition.category.coding", "short": "A reference to a code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/coding-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Condition.category:problemListItem.coding.id", "path": "Condition.category.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.category:problemListItem.coding.extension", "path": "Condition.category.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.category:problemListItem.coding.system", "path": "Condition.category.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "patternUri": "http://terminology.hl7.org/CodeSystem/condition-category", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Condition.category:problemListItem.coding.version", "path": "Condition.category.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Condition.category:problemListItem.coding.code", "path": "Condition.category.coding.code", "short": "Symbol in syntax defined by the system", "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).", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 1, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "patternCode": "problem-list-item", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Condition.category:problemListItem.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.category.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Condition.category:problemListItem.coding.display.id", "path": "Condition.category.coding.display.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.category:problemListItem.coding.display.extension", "path": "Condition.category.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.category:problemListItem.coding.display.extension:translation", "path": "Condition.category.coding.display.extension", "sliceName": "translation", "short": "Language Translation (Localization)", "definition": "Language translation from base language of resource to another language, used to provide translations for strings, including markdown. Generally, the type of the translation extension SHOULD match that of the element being extended.", "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", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation|5.3.0" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "ST.translation" } ] }, { "id": "Condition.category:problemListItem.coding.display.value", "path": "Condition.category.coding.display.value", "representation": [ "xmlAttr" ], "short": "Primitive value for string", "definition": "Primitive value for string", "min": 0, "max": "1", "base": { "path": "string.value", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" }, { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "maxLength": 1048576 }, { "id": "Condition.category:problemListItem.coding.userSelected", "path": "Condition.category.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Condition.category:problemListItem.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.category.text", "short": "Plain text representation of the concept", "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.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Condition.severity", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.severity", "short": "Concept - reference to a terminology or just text", "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Condition.severity", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionSeverity" }, { "extension": [ { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/condition-severity" }, { "url": "documentation", "valueMarkdown": "Condition Severity Codes" } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" } ], "strength": "preferred", "description": "A subjective assessment of the severity of the condition as evaluated by the clinician.", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/severitycode|1.2.1-dft" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.grade" }, { "identity": "sct-concept", "map": "< 272141005 |Severities|" }, { "identity": "v2", "map": "PRB-26 / ABS-3" }, { "identity": "rim", "map": "Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value" }, { "identity": "sct-attr", "map": "246112005" } ] }, { "id": "Condition.code", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.code", "short": "Concept - reference to a terminology or just text", "definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "requirements": "0..1 to account for primarily narrative only resources.", "alias": [ "type" ], "min": 1, "max": "1", "base": { "path": "Condition.code", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/codeable-concept" ], "_profile": [ { "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints", "valueCode": "full" } ] } ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionKind" }, { "extension": [ { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips" }, { "url": "documentation", "valueMarkdown": "Absent or Unknown Codes for Clinical Findings" } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" }, { "extension": [ { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/ICD10CA|1.2.1-dft" }, { "url": "documentation", "valueMarkdown": "International Classifications of Disease 10 CA Codes" } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" }, { "extension": [ { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/ICD9CM|1.2.1-dft" }, { "url": "documentation", "valueMarkdown": "International Classifications of Disease 9 CM Codes" } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" } ], "strength": "preferred", "description": "Identification of the condition or diagnosis.", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode|1.2.1-dft" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "sct-concept", "map": "code 246090004 |Associated finding| (< 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|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|" }, { "identity": "v2", "map": "PRB-3" }, { "identity": "rim", "map": ".value" }, { "identity": "sct-attr", "map": "246090004" }, { "identity": "CACDI", "map": "Health Concern(s)" } ] }, { "id": "Condition.code.id", "path": "Condition.code.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.code.extension", "path": "Condition.code.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.code.coding", "path": "Condition.code.coding", "short": "A reference to a code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/coding" ], "_profile": [ { "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints", "valueCode": "full" } ] } ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Condition.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/codeable-concept|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.code.text", "short": "Plain text representation of the concept", "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.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "pcare-con-1", "severity": "warning", "human": "Condition.code.text value should not exceed 100 characters for PS-AB compatibility.", "expression": "length() <= 100", "source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "Condition.bodySite", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.bodySite", "short": "Concept - reference to a terminology or just text", "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Condition.bodySite", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" } ], "strength": "preferred", "description": "Codes describing anatomical locations. May include laterality.", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode|1.2.1-dft" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "sct-concept", "map": "< 442083009 |Anatomical or acquired body structure|" }, { "identity": "rim", "map": ".targetBodySiteCode" }, { "identity": "sct-attr", "map": "363698007" } ] }, { "id": "Condition.subject", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.subject", "short": "Who has the condition?", "definition": "Indicates the patient or group who the condition record is associated with.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Group is typically used for veterinary or public health use cases.", "alias": [ "patient" ], "min": 1, "max": "1", "base": { "path": "Condition.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role[classCode=PAT]" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "Condition.subject.id", "path": "Condition.subject.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.subject.extension", "path": "Condition.subject.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.subject.reference", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.subject.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 1, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.subject.type", "path": "Condition.subject.type", "short": "Type the reference refers to (e.g. \"Patient\")", "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" }, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.subject.identifier", "path": "Condition.subject.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": ".identifier" } ] }, { "id": "Condition.subject.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.subject.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.encounter", "path": "Condition.encounter", "short": "Encounter created as part of", "definition": "The Encounter during which this Condition was created or to which the creation of this record is tightly associated.", "comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".", "min": 0, "max": "1", "base": { "path": "Condition.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.context" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "v2", "map": "PV1-19 (+PV1-54)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" } ] }, { "id": "Condition.onset[x]", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core|1.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.onset[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "closed" }, "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "onsetDateTime is the preferred datatype for this element. Systems receiving are expected to process and store the onsetDateTime. Other types may be used depending on context.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" }, { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.onset[x]:onsetDateTime", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.onset[x]", "sliceName": "onsetDateTime", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "YYYY-MM-DD format. Partial dates (YYYY only or YYYY-MM only) are accepted.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.onset[x]:onsetAge", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/implied-type-slice", "valueBoolean": true } ], "path": "Condition.onset[x]", "sliceName": "onsetAge", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "Age" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.onset[x]:onsetPeriod", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/implied-type-slice", "valueBoolean": true } ], "path": "Condition.onset[x]", "sliceName": "onsetPeriod", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.onset[x]:onsetRange", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/implied-type-slice", "valueBoolean": true } ], "path": "Condition.onset[x]", "sliceName": "onsetRange", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "Range" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.onset[x]:onsetString", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/implied-type-slice", "valueBoolean": true } ], "path": "Condition.onset[x]", "sliceName": "onsetString", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.", "min": 0, "max": "1", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.abatement[x]", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.abatement[x]", "short": "When in resolution/remission", "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.", "comment": "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.", "min": 0, "max": "1", "base": { "path": "Condition.abatement[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" }, { "code": "string" } ], "condition": [ "ele-1", "con-4" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "rim", "map": ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed" } ] }, { "id": "Condition.recordedDate", "path": "Condition.recordedDate", "short": "Date record was first recorded", "definition": "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.", "min": 0, "max": "1", "base": { "path": "Condition.recordedDate", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "v2", "map": "REL-11" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" }, { "identity": "CACDI", "map": "Health Concern Date of Diagnosis" } ] }, { "id": "Condition.recorder", "path": "Condition.recorder", "short": "Who recorded the condition", "definition": "Individual who recorded the record and takes responsibility for its content.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "1", "base": { "path": "Condition.recorder", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "Condition.asserter", "path": "Condition.asserter", "short": "Person who asserts this condition", "definition": "Individual who is making the condition statement.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "1", "base": { "path": "Condition.asserter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core", "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.source" }, { "identity": "v2", "map": "REL-7.1 identifier + REL-7.12 type code" }, { "identity": "rim", "map": ".participation[typeCode=INF].role" } ] }, { "id": "Condition.stage", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.stage", "short": "Stage/grade, usually assessed formally", "definition": "Clinical stage or grade of a condition. May include formal severity assessments.", "min": 0, "max": "*", "base": { "path": "Condition.stage", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/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)", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.stage.extension", "path": "Condition.stage.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.stage.modifierExtension", "path": "Condition.stage.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Condition.stage.summary", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "con-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionStage" } ], "strength": "example", "description": "Codes describing condition stages (e.g. Cancer stages).", "valueSet": "http://hl7.org/fhir/ValueSet/condition-stage" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "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.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "base": { "path": "Condition.stage.assessment", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "condition": [ "ele-1", "con-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".self" } ] }, { "id": "Condition.stage.type", "path": "Condition.stage.type", "short": "Kind of staging", "definition": "The kind of staging, such as pathological or clinical staging.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Condition.stage.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionStageType" } ], "strength": "example", "description": "Codes describing the kind of condition staging (e.g. clinical or pathological).", "valueSet": "http://hl7.org/fhir/ValueSet/condition-stage-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]" } ] }, { "id": "Condition.evidence", "path": "Condition.evidence", "short": "Supporting evidence", "definition": "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.", "comment": "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.", "min": 0, "max": "*", "base": { "path": "Condition.evidence", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/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)", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "Condition.evidence.id", "path": "Condition.evidence.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.evidence.extension", "path": "Condition.evidence.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "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. 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 can 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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.evidence.modifierExtension", "path": "Condition.evidence.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Condition.evidence.code", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "con-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "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.", "valueSet": "http://hl7.org/fhir/ValueSet/manifestation-or-symptom" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.reasonCode" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "rim", "map": "[code=\"diagnosis\"].value" } ] }, { "id": "Condition.evidence.detail", "path": "Condition.evidence.detail", "short": "Supporting information found elsewhere", "definition": "Links to other relevant information, including pathology reports.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "base": { "path": "Condition.evidence.detail", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1", "con-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "rim", "map": ".self" } ] }, { "id": "Condition.note", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition|0.1.0" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "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.", "comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).", "min": 0, "max": "*", "base": { "path": "Condition.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "pcare-con-2", "severity": "warning", "human": "Condition.note Annotation.text should not exceed 2000 characters for PS-AB compatibility.", "expression": "text.length() <= 2000", "source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "workflow", "map": "Event.note" }, { "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.clinicalStatus", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.clinicalStatus" }, { "id": "Condition.category", "path": "Condition.category", "slicing": { "discriminator": [ { "type": "value", "path": "coding.code" } ], "rules": "open" }, "definition": "A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'.", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionCategory" }, { "extension": [ { "url": "key", "valueId": "component-problem-type-uv-ips" }, { "url": "purpose", "valueCode": "component" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips|2.0.1" }, { "url": "documentation", "valueMarkdown": "Component of extensible valueSet put forth in IPS to encourage the use condition records with the category code of 'problem-list-item' for use in the Problems Section and History of Past Illness Section." } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" }, { "extension": [ { "url": "key", "valueId": "candidate-problem-type-loinc" }, { "url": "purpose", "valueCode": "candidate" }, { "url": "valueSet", "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc|2.0.1" }, { "url": "documentation", "valueMarkdown": "Codes put forth in IPS to supply an additional binding to the LOINC \"Problem\" code - retained for backward compatibility. While not preferred for continued use this is also identified as an additional binding to reflect what legacy IPS instances may include (in alignment to IPS approach)." } ], "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" } ], "strength": "extensible", "description": "A category assigned to the condition.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-category" } }, { "id": "Condition.category:problemListItem", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.category", "sliceName": "problemListItem", "min": 0, "max": "1" }, { "id": "Condition.category:problemListItem.coding.system", "path": "Condition.category.coding.system", "patternUri": "http://terminology.hl7.org/CodeSystem/condition-category" }, { "id": "Condition.category:problemListItem.coding.code", "path": "Condition.category.coding.code", "min": 1, "patternCode": "problem-list-item" }, { "id": "Condition.severity", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.severity" }, { "id": "Condition.code", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.code", "definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".", "min": 1, "type": [ { "code": "CodeableConcept", "profile": [ "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/codeable-concept" ] } ] }, { "id": "Condition.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.code.text", "constraint": [ { "key": "pcare-con-1", "severity": "warning", "human": "Condition.code.text value should not exceed 100 characters for PS-AB compatibility.", "expression": "length() <= 100", "source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition" } ] }, { "id": "Condition.bodySite", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.bodySite" }, { "id": "Condition.subject", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" ] } ] }, { "id": "Condition.subject.reference", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.subject.reference", "min": 1 }, { "id": "Condition.onset[x]", "extension": [ { "extension": [ { "url": "code", "valueCode": "MAY:populate-if-known" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" }, { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.onset[x]" }, { "id": "Condition.onset[x]:onsetDateTime", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHOULD:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.onset[x]", "sliceName": "onsetDateTime", "comment": "YYYY-MM-DD format. Partial dates (YYYY only or YYYY-MM only) are accepted.", "type": [ { "code": "dateTime" } ] }, { "id": "Condition.abatement[x]", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.abatement[x]" }, { "id": "Condition.stage", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.stage" }, { "id": "Condition.note", "extension": [ { "extension": [ { "url": "name", "valueString": "pcare" }, { "url": "code", "valueCode": "SHALL:populate" }, { "url": "code", "valueCode": "SHALL:persist" }, { "url": "code", "valueCode": "SHALL:no-error" }, { "url": "documentation", "valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element." }, { "url": "actor", "valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" } ], "url": "http://hl7.org/fhir/StructureDefinition/obligation" } ], "path": "Condition.note", "constraint": [ { "key": "pcare-con-2", "severity": "warning", "human": "Condition.note Annotation.text should not exceed 2000 characters for PS-AB compatibility.", "expression": "text.length() <= 2000", "source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/condition" } ] } ] } }