{ "resourceType": "StructureDefinition", "id": "profile-DwCondition", "meta": { "lastUpdated": "2024-07-09T15:27:26.0097173+00:00" }, "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCondition", "version": "2.0.0", "name": "DwCondition", "status": "active", "date": "2026-05-29", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition", "derivation": "constraint", "differential": { "element": [ { "id": "Condition.id", "path": "Condition.id", "min": 1, "mustSupport": true }, { "id": "Condition.meta.lastUpdated", "path": "Condition.meta.lastUpdated", "mustSupport": true }, { "id": "Condition.meta.source", "path": "Condition.meta.source", "mustSupport": true }, { "id": "Condition.meta.security", "path": "Condition.meta.security", "mustSupport": true }, { "id": "Condition.text", "path": "Condition.text", "mustSupport": true }, { "id": "Condition.identifier", "path": "Condition.identifier", "mustSupport": true }, { "id": "Condition.identifier.system", "path": "Condition.identifier.system", "min": 1, "mustSupport": true }, { "id": "Condition.identifier.value", "path": "Condition.identifier.value", "min": 1, "mustSupport": true }, { "id": "Condition.clinicalStatus", "path": "Condition.clinicalStatus", "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.\r\nNot populated when verificationStatus is 'entered-in-error' (per FHIR constraint con-3).", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical" } }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status" } }, { "id": "Condition.verificationStatus.coding.code", "path": "Condition.verificationStatus.coding.code", "comment": "When a medical record problem or encounter diagnosis is deleted then we need to provide a verification status of entered-in-error." }, { "id": "Condition.category", "path": "Condition.category", "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.\r\nProblems extracted from the patient's problem list will have the category problem-list-item.\r\nProblems attached to the encounter will have the category encounter-diagnosis.", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/condition-category" } }, { "id": "Condition.severity", "path": "Condition.severity", "mustSupport": true, "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/ValueSet/condition-severity" } }, { "id": "Condition.code", "path": "Condition.code", "comment": "Note; support of coding type is dependant on EMR configuration.", "mustSupport": true }, { "id": "Condition.code.coding", "path": "Condition.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" } }, { "id": "Condition.code.coding:SNOMEDCode", "path": "Condition.code.coding", "sliceName": "SNOMEDCode", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode" } }, { "id": "Condition.code.coding:SNOMEDCode.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://snomed.info/sct" }, { "id": "Condition.code.coding:SNOMEDCode.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:SNOMEDCode.display.extension:translation", "path": "Condition.code.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:SNOMEDCode.display.extension:translation.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:ICD9Code", "path": "Condition.code.coding", "sliceName": "ICD9Code", "comment": "System URL: http://hl7.org/fhir/sid/icd-9", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD9CM" } }, { "id": "Condition.code.coding:ICD9Code.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/sid/icd-9" }, { "id": "Condition.code.coding:ICD9Code.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:ICD9Code.display.extension:translation", "path": "Condition.code.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:ICD9Code.display.extension:translation.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:ICD9CMCode", "path": "Condition.code.coding", "sliceName": "ICD9CMCode", "comment": "Alternate ICD-9 system URL (http://hl7.org/fhir/sid/icd-9-cm). Semantically equivalent to ICD9Code.", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD9CM" } }, { "id": "Condition.code.coding:ICD9CMCode.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/sid/icd-9-cm" }, { "id": "Condition.code.coding:ICD9CMCode.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:ICD9CMCode.display.extension:translation", "path": "Condition.code.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:ICD9CMCode.display.extension:translation.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:ICD10Code", "path": "Condition.code.coding", "sliceName": "ICD10Code", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD10CA" } }, { "id": "Condition.code.coding:ICD10Code.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/sid/icd-10" }, { "id": "Condition.code.coding:ICD10Code.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:ICD10Code.display.extension:myExtension", "path": "Condition.code.coding.display.extension", "sliceName": "myExtension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:ICD10Code.display.extension:myExtension.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:ENCODECode", "path": "Condition.code.coding", "sliceName": "ENCODECode", "min": 0, "max": "1", "mustSupport": true }, { "id": "Condition.code.coding:ENCODECode.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "https://www.insite-fm.com/encode-fm" }, { "id": "Condition.code.coding:ENCODECode.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:ENCODECode.display.extension:myExtension", "path": "Condition.code.coding.display.extension", "sliceName": "myExtension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:ENCODECode.display.extension:myExtension.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:absentOrUnknownProblem", "path": "Condition.code.coding", "sliceName": "absentOrUnknownProblem", "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips" } }, { "id": "Condition.code.coding:absentOrUnknownProblem.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips" }, { "id": "Condition.code.coding:absentOrUnknownProblem.display.extension", "path": "Condition.code.coding.display.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Condition.code.coding:absentOrUnknownProblem.display.extension:translation", "path": "Condition.code.coding.display.extension", "sliceName": "translation", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/translation" ] } ] }, { "id": "Condition.code.coding:absentOrUnknownProblem.display.extension:translation.extension", "path": "Condition.code.coding.display.extension.extension", "min": 2 }, { "id": "Condition.code.coding:ICD9BILLCode", "path": "Condition.code.coding", "sliceName": "ICD9BILLCode", "min": 0, "max": "1", "mustSupport": true }, { "id": "Condition.code.coding:ICD9BILLCode.system", "path": "Condition.code.coding.system", "min": 1, "fixedUri": "http://telus.com/codeSystem/NovaScotia-ICD9-bill" }, { "id": "Condition.code.text", "path": "Condition.code.text", "comment": "Condition as documented in the EMR. Very often the text is the same as a coding.display." }, { "id": "Condition.subject", "path": "Condition.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ] } ], "mustSupport": true }, { "id": "Condition.encounter", "path": "Condition.encounter", "comment": "The encounter during which the condition was documented.\r\n\r\nThis 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\".", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter" ] } ], "mustSupport": true }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "mustSupport": true }, { "id": "Condition.abatement[x]", "path": "Condition.abatement[x]", "mustSupport": true }, { "id": "Condition.recordedDate", "path": "Condition.recordedDate", "mustSupport": true }, { "id": "Condition.recorder", "path": "Condition.recorder", "type": [ { "code": "Reference", "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole", "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ] } ], "mustSupport": true }, { "id": "Condition.note", "path": "Condition.note", "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).", "mustSupport": true } ] } }