Scope and usage

The Danish Core Condition profile is intended to encapsulate condition information, as used in the Danish health sector. In dk-core, conditions have been constrained to only containing conditions as stated by health or social sector practitioners This means that conditions, that patients or citizens assert themselves to have, should not be represented using this profile. Patients’ own assessments can, in most cases, be represented as Observations or QuestionnaireResponses. However, in some use cases, where the patient asserts the problem, that leads to healthcare interventions or own interventions. It does make sense to represent these as Conditions. In this case, use the international standard Condition, not this dk-core Condition profile.

This way of constraining the Condition profile is within the boundaries of what the Danish Health Data Authority and Local Government Denmark define as a Condition.

• The Danish Health Data Authority, Begrebsbasen: Helbredstilstand er en tilstand vedrørende helbred der aktuelt vurderes med henblik på sundhedsintervention
• Local Government Denmark, Fælleskommunale rammearkitektur, FKI: Fokustilstand er en borgers helbredsmæssige, funktionsmæssige og/eller sociale situation, på et givet tidspunkt, der er anledning til faglig bekymring, og vurderes mhp. indsats

We use the Condition profile for describing both conditions that are true for an encounter, and for conditions that are true for a periode of time. “In FHIR, we distinguish between the two using the Condition.category that can take the two values problem-list-item og encounter-diagnosis. In this list, examples of use is compiled:

• LPR3 conditions are encounter-diagnosis
• Regional care-pathway diagnosis (Regionale forløbsdiagnoser) are problem-list-items
• General practioners can code each encounter with an ICPC code. This is an encounter-diagnosis
• Municipality conditions i.e. FSIII-conditions and FFB-subthemes are problem-list-items
• General practitioners, in some cases, follow a patient condition for a longer periode of time (e.g. high blood pressure, high cholesterol, COPD), and some systems support care pathways for these conditions. These conditions may be categorized as problem-list-items.

Given that we have a condition, which is a problem-list-item, ending the condition have two meanings:

• The first is that the patient no longer has the condition e.g. a pressure ulcer has healed. In this case, Condition.clinicalStatus=inactive and Condition.abatementTime is the date where the condition was no longer a problem.
• The second meaning of “ended” is that the condition falls out of focus in a professional context e.g. if the patient moves, or another professional group takes over the care for the patient. A Condition no longer in focus can be represented in two ways:
  • The Condition.category looses its “problem-list-item” flag. The idea is to state that from a patient viewpoint the condition has not changed, but in this professional context it is no longer in focus.
  • The Condition.extension.NotFollowedAnymore is populated with the date that it lost focus in a specific professional context.

The status attributes controls the context of a condition. clinicalStatus should be populated with the value “active” if the patient has the condition, and inactive if the patient no longer have the condition. Condition.verificationStatus should be set to “confirmed” if the condition have been established as true by someone with authority (e.g. a diagnosis is confirmed by a doctor). A condition is “unconfirmed”, if the patient is suspected of having a condition, and “refuted” if it has been confirmed that the condition is not present. An example of an unconfirmed condition can be found here John Melanoma.

Note that “unconfirmed” is not the same as a risk of developing a condition. The risk of developing a certain condition may be recorded in (at least) two ways in FHIR i.e. as a familyMemberHistory or by populating Condition.code with a code that expresses a risk e.g. the SNOMED CT code ´395112001 At increased risk for cardiovascular event (finding)´. The first would typically be used if recording a family history, the second, if you want to use an increased risk as the reason for starting a prophylactic treatment.

Condition profile cover both primary sector, secondary sector (medical specialists ([DA] speciallæger) and hospitals) and municipality cases. As such the profile should be usable in most Danish contexts.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
code
Slices for coding		0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode		0..1	Coding	[DA] FSIII tilstandskode
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:SCTConditionCode		0..1	Coding	SNOMED CT condition code Binding: ConditionProblemDiagnosisCodes (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:FFBConditionCode		0..1	Coding	[DA] FFB undertemakode
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SKS-D		0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
coding:ICPC2code		0..1	Coding	ICPC2 code
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
subject		1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for participant		0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:recorder		0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
function
coding
code		1..1	code	Symbol in syntax defined by the system Required Pattern: enterer
actor		1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter		0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
function
coding
code		1..1	code	Symbol in syntax defined by the system Required Pattern: performer
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code.coding:SCTConditionCode	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for participant	Σ	0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
participant:recorder	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	C	0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: ConditionProblemDiagnosisCodes (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
Slices for participant	Σ	0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:All Slices				Content/Rules for all slices
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
participant:recorder	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: enterer
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: performer
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	Simple summary (disease specific) 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	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	ConditionDiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.participant:recorder.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.participant:asserter.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
code
Slices for coding		0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode		0..1	Coding	[DA] FSIII tilstandskode
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:SCTConditionCode		0..1	Coding	SNOMED CT condition code Binding: ConditionProblemDiagnosisCodes (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:FFBConditionCode		0..1	Coding	[DA] FFB undertemakode
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SKS-D		0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
coding:ICPC2code		0..1	Coding	ICPC2 code
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
subject		1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for participant		0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:recorder		0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
function
coding
code		1..1	code	Symbol in syntax defined by the system Required Pattern: enterer
actor		1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter		0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
function
coding
code		1..1	code	Symbol in syntax defined by the system Required Pattern: performer
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code.coding:SCTConditionCode	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for participant	Σ	0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
participant:recorder	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
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
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	C	0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: ConditionProblemDiagnosisCodes (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
Slices for participant	Σ	0..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved Slice: Unordered, Open by value:function.coding.code
participant:All Slices				Content/Rules for all slices
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
participant:recorder	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: enterer
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Who or what participated in the activities related to the condition
participant:asserter	Σ	0..1	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: performer
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Who or what participated in the activities related to the condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	Simple summary (disease specific) 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	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	ConditionDiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.participant:recorder.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.participant:asserter.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from Condition

Summary

Mandatory: 0 element(7 nested mandatory elements)

Structures

This structure refers to these other structures:

• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)
• Danish Core Practitioner Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-dueTo
• http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
• http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding
• The element 1 is sliced based on the value of Condition.participant