MyHealth@Eu Hospital Discharge Report
0.0.1 - qa-preview 150

MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Condition: HDR

Official URL: http://fhir.ehdsi.eu/hdr/StructureDefinition/condition-hdr-myhealtheu Version: 0.0.1
Standards status: Draft Maturity Level: 1 Computable Name: ConditionHdrMyHealthEu

This profile represents the constraint applied to the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

This profile constrains the Condition resource for the purpose of the MyHealth@EU HDR.

Usages:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuHdr Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... Slices for extension Content/Rules for all slices
.... extension:bodySite O 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ObligationsActor
SHALL:handle HDR Handler
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... clinicalStatus ?!OΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:handle HDR Handler
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
Binding: eHDSI Condition Present On Admission (required)
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
Binding: eHDSI Treatment Class (required)
... code OΣ 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite OΣ 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject Σ 1..1 Reference(Patient: HDR) Who has the condition?
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime OΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.category:poarequiredEHDSIConditionPOA
http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treatedrequiredEHDSITreatmentClass
http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: 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()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ConditionEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition ConditionEuHdr This profile also imposes the profile Condition (IPS)
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... Slices for extension Content/Rules for all slices
.... extension:bodySite O 0..1 BodyStructureReference(5.2.0) Target anatomic location or structure
ObligationsActor
SHALL:handle HDR Handler
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... clinicalStatus O 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:handle HDR Handler
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
... code O 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite O 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject 1..1 Reference(Patient: HDR) Who has the condition?
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetDateTime O 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuHdr Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodySite O 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ObligationsActor
SHALL:handle HDR Handler
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!OΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:handle HDR Handler
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
Binding: eHDSI Condition Present On Admission (required)
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
Binding: eHDSI Treatment Class (required)
... severity 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code OΣ 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite OΣ 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject Σ 1..1 Reference(Patient: HDR) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime OΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.category:poarequiredEHDSIConditionPOA
http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treatedrequiredEHDSITreatmentClass
http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
From the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
From the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: 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()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuHdr Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... Slices for extension Content/Rules for all slices
.... extension:bodySite O 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ObligationsActor
SHALL:handle HDR Handler
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... clinicalStatus ?!OΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:handle HDR Handler
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
Binding: eHDSI Condition Present On Admission (required)
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
Binding: eHDSI Treatment Class (required)
... code OΣ 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite OΣ 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject Σ 1..1 Reference(Patient: HDR) Who has the condition?
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime OΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.category:poarequiredEHDSIConditionPOA
http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treatedrequiredEHDSITreatmentClass
http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: 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()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ConditionEuHdr

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition ConditionEuHdr This profile also imposes the profile Condition (IPS)
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... Slices for extension Content/Rules for all slices
.... extension:bodySite O 0..1 BodyStructureReference(5.2.0) Target anatomic location or structure
ObligationsActor
SHALL:handle HDR Handler
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... clinicalStatus O 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:handle HDR Handler
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
... code O 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite O 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject 1..1 Reference(Patient: HDR) Who has the condition?
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetDateTime O 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuHdr Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text O 0..1 Narrative Problem description
ObligationsActor
SHALL:handle HDR Handler
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:bodySite O 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ObligationsActor
SHALL:handle HDR Handler
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: HDR) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!OΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:handle HDR Handler
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:poa 0..1 CodeableConceptIPS POA, HAC, NA
Binding: eHDSI Condition Present On Admission (required)
.... category:treated 0..1 CodeableConceptIPS Treated or untreated
Binding: eHDSI Treatment Class (required)
... severity 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code OΣ 1..1 CodeableConceptIPS Identification of the condition, problem or diagnosis
Binding: eHDSI Problems and Diagnoses With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... bodySite OΣ 0..* CodeableConceptIPS Anatomical location, if relevant
Binding: eHDSI Body Site with exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... subject Σ 1..1 Reference(Patient: HDR) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime OΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHALL:handle HDR Handler
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.category:poarequiredEHDSIConditionPOA
http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treatedrequiredEHDSITreatmentClass
http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.coderequiredEHDSIProblemWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions
From this IG
Condition.bodySiterequiredEHDSIBodySiteWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions
From this IG
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
From the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
From the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: 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()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: 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()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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