{ "resourceType": "StructureDefinition", "id": "qicore-condition", "text": { "status": "generated", "div": "
\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\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Condition 0..*
\".\"\".\"\".\" id 0..1id
\".\"\".\"\".\" condition-criticality 0..1CodeableConceptPotential impact of the condition
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
\".\"\".\"\".\" condition-dueTo 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)What caused the Condition?
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: Condition Cause Codes (example)
\".\"\".\"\".\" condition-occurredFollowing 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)Precedent for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
Binding: Condition Predecessor Codes (example)
\".\"\".\"\".\" clinicalStatus S0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
\".\"\".\"\".\" verificationStatus S1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
\".\"\".\"\".\" category S1..*CodeableConceptproblem-list-item | encounter-diagnosis | problem | health-concern
Binding: US Core Condition Category Codes (preferred)
\".\"\".\"\".\" severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
\".\"\".\"\".\" code S1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Problem Value Set (preferred)
\".\"\".\"\".\" bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
\".\"\".\"\".\" subject S1..1Reference(QICore-Patient | Group)Who has the condition?
\".\"\".\"\".\" context S0..1Reference(QICore-Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
\".\"\".\"\".\" onset[x] S0..1dateTime, Age, Period, RangeEstimated or actual date, date-time, or age
\".\"\".\"\".\" abatement[x] S0..1dateTime, Age, boolean, Period, RangeIf/when in resolution/remission
\".\"\".\"\".\" assertedDate S0..1dateTimeDate record was believed accurate
\".\"\".\"\".\" asserter 0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who asserts this condition
\".\"\".\"\".\" stage S0..1BackboneElementStage/grade, usually assessed formally
\".\"\".\"\".\"\".\" summary S0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
\".\"\".\"\".\"\".\" assessment 0..*Reference(ClinicalImpression | QICore-DiagnosticReport | QICore-Observation)Formal record of assessment
\".\"\".\"\".\" evidence 0..*BackboneElementSupporting evidence
\".\"\".\"\".\"\".\" code 0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
\".\"\".\"\".\"\".\" detail 0..*Reference(Resource)Supporting information found elsewhere

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition", "version": "3.1.0", "name": "QICore-Condition", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of Condition for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "qidam", "uri": "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378", "name": "Quality Improvement Domain Analysis Model" }, { "identity": "argonaut-dq-dstu2", "uri": "http://unknown.org/Argonaut DQ DSTU2", "name": "Argonaut DQ DSTU2" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.info/sct", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition", "derivation": "constraint", "differential": { "element": [ { "id": "Condition", "path": "Condition", "definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Diagnosis (when Condition.clinicalStatus=\"active\")" } ] }, { "id": "Condition.id", "path": "Condition.id", "definition": "Logical id of this artifact.", "min": 0, "max": "1", "type": [ { "code": "id" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "id" } ] }, { "id": "Condition.extension:criticality", "path": "Condition.extension", "sliceName": "criticality", "definition": "Characterizes potential impact of the condition on life, durable physiological function, or quality of life.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/condition-criticality" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "Indicates the potential impact of the condition", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-condition-criticality" } }, "mapping": [ { "identity": "qidam", "map": "ManifestedSymptom.criticality" } ] }, { "id": "Condition.extension:dueTo", "path": "Condition.extension", "sliceName": "dueTo", "short": "What caused the Condition?", "definition": "Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition.", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/condition-dueTo" } ], "mustSupport": false, "isModifier": false }, { "id": "Condition.extension:occurredFollowing", "path": "Condition.extension", "sliceName": "occurredFollowing", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" } ], "mustSupport": false, "isModifier": false }, { "id": "Condition.clinicalStatus", "path": "Condition.clinicalStatus", "short": "active | recurrence | inactive | remission | resolved", "definition": "The clinical status of the condition.", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "description": "Preferred value set for Condition Clinical Status.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-clinical" } } }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "short": "provisional | differential | confirmed | refuted | entered-in-error | unknown", "definition": "The verification status to support the clinical status of the condition.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "description": "The verification status to support or decline the clinical status of the condition or diagnosis.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-ver-status" } } }, { "id": "Condition.category", "path": "Condition.category", "short": "problem-list-item | encounter-diagnosis | problem | health-concern", "definition": "A category assigned to the condition.", "min": 1, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "The US core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems.", "valueSetReference": { "reference": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category" } } }, { "id": "Condition.severity", "path": "Condition.severity", "short": "Subjective severity of condition", "definition": "A subjective assessment of the severity of the condition as evaluated by the clinician.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "Preferred value set for Condition/Diagnosis severity grading", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-severity" } }, "mapping": [ { "identity": "qdm", "map": "severity" } ] }, { "id": "Condition.code", "path": "Condition.code", "short": "Identification of the condition, problem or diagnosis", "definition": "This describes the problem.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "The code for the condition", "valueSetReference": { "reference": "http://hl7.org/fhir/us/core/ValueSet/us-core-problem" } }, "mapping": [ { "identity": "qdm", "map": "code" } ] }, { "id": "Condition.bodySite", "path": "Condition.bodySite", "short": "Anatomical location, if relevant", "definition": "The anatomical location where this condition manifests itself.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "example", "description": "This value set includes all codes from http://snomed.info/sct where concept is-a 442083009 (Anatomical or acquired body site (body structure)).", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/body-site" } }, "mapping": [ { "identity": "qdm", "map": "anatomicalLocationSite" } ] }, { "id": "Condition.subject", "path": "Condition.subject", "short": "Who has the condition?", "definition": "Indicates the patient or group who the condition record is associated with.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group" } ], "mustSupport": true, "isModifier": false }, { "id": "Condition.context", "path": "Condition.context", "short": "Encounter or episode when condition first asserted", "definition": "Encounter during which the condition was first asserted.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "mustSupport": true, "isModifier": false }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "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.", "min": 0, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "prevalencePeriod" } ] }, { "id": "Condition.abatement[x]", "path": "Condition.abatement[x]", "short": "If/when in resolution/remission", "definition": "The date or estimated date that the condition resolved or went into remission.", "min": 0, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "boolean" }, { "code": "Period" }, { "code": "Range" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "prevalencePeriod" } ] }, { "id": "Condition.assertedDate", "path": "Condition.assertedDate", "short": "Date record was believed accurate", "definition": "The date on which the existance of the Condition was first asserted or acknowledged.", "min": 0, "max": "1", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "authorDatetime" } ] }, { "id": "Condition.asserter", "path": "Condition.asserter", "short": "Person who asserts this condition", "definition": "Individual who is making the condition statement.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "source" } ] }, { "id": "Condition.stage", "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": "1", "mustSupport": true, "isModifier": false }, { "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.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "example", "description": "Example value set for stages of cancer and other conditions", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/condition-stage" } } }, { "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.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" } ], "mustSupport": false, "isModifier": false }, { "id": "Condition.evidence", "path": "Condition.evidence", "short": "Supporting evidence", "definition": "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false }, { "id": "Condition.evidence.code", "path": "Condition.evidence.code", "short": "Manifestation/symptom", "definition": "A manifestation or symptom that led to the recording of this condition.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "Example value set for Manifestation and Symptom codes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/manifestation-or-symptom" } } }, { "id": "Condition.evidence.detail", "path": "Condition.evidence.detail", "short": "Supporting information found elsewhere", "definition": "Links to other relevant information, including pathology reports.", "min": 0, "max": "*", "mustSupport": false, "isModifier": false } ] } }