Scope and usage

The Condition may be instatiated whenever a condition is found and registered for citizens in Danish municipalities.

Conditions are always defined by Condition.code, which may originate from FSIII.

Condition.severity.coding has as valid values the funtional level (FSIII funktionsniveau).

Condition.recordedDate is the date where the condition was first recorded, NOT the date where the problem first known to be present.

Condition.clinicalStatus should be populated with the value "active" if the citizen has the condition, and inactive if the citizen no longer have the condition. In most other use cases, Condition.verificationStatus should be "confirmed". clinicalStatus is mandatory, and it is a good idea to always provide the verificationStatus. If not populated, the condition is assumed to be "confirmed".

Conditions are related to a professional context (through its code). These are the different contexts in which codelists of conditions are formulated:

• Home nursing SUL §138 (FSIII)
• Home care SEL 83, 83,

Condition.category is, in this implementation, used as a way to determine whether the condition is in focus in a professional context. In focus means that this condition is solely or partially the reason why interventions are performed in the professional context. If a condition is "in focus" Condition.category is populated with the value "problem-list-item". An empty Condition.category means that the focus have not been considered (if it is the first version of a condition). If the latter is the case, it might be difficult to determine whether a condition have been ended.

Ending a condition means that the condition falls out of focus in a professional context e.g. if the citizen moves, or another professional group takes over the care for the citizen. This does not necessarily mean that the citizen no longer has the condition. When a condition is ended, the Condition.category looses its "problem-list-item" flag. The idea is to state that from a citizen viewpoint the condition has not nessesarily changed, but in this professional context it is no longer in focus. It follows that it is valid to close a condition with Condition.clinicalStatus = active and an empty Condition.category.

Condition follow-up is documented using Condition.extension:followUpEncounter, which points to a future encounter, with Encounter.type = "opfølgning". However, the followUpEncounter-extension will be depricated in the next version of this implementation guide. In the new version, GeneralEncounter holds a reference to the Condition.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	Σ	1..1	Coding	[DK] tilstandsfokus
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0		External Ids for this condition
clinicalStatus		0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
verificationStatus	S	0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis
coding		1..1	Coding	[DK] tilstandsfokus
version		0..0		Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding		1..1	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding		1..1	Coding	[DK] FSIII tilstandskode
bodySite		0..0		Anatomical location, if relevant
subject		1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
encounter		0..0		Encounter created as part of
onset[x]		0..0		Estimated or actual date, date-time, or age
abatement[x]		0..0		When in resolution/remission
recordedDate		1..1	dateTime	[DK] tilstandsoprettelsestid
recorder		0..0		Who recorded the condition
asserter		0..0		Person who asserts this condition
stage		0..0		Stage/grade, usually assessed formally
evidence		0..0		Supporting evidence
note		0..0		Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to 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
coding	Σ	1..1	Coding	[DK] tilstandsfokus
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	Σ	1..1	Coding	[DK] tilstandsfokus
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0		External Ids for this condition
clinicalStatus		0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
verificationStatus	S	0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0		Version of the system - if relevant
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis
coding		1..1	Coding	[DK] tilstandsfokus
version		0..0		Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
display		0..0		Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding		1..1	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding		1..1	Coding	[DK] FSIII tilstandskode
bodySite		0..0		Anatomical location, if relevant
subject		1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
encounter		0..0		Encounter created as part of
onset[x]		0..0		Estimated or actual date, date-time, or age
abatement[x]		0..0		When in resolution/remission
recordedDate		1..1	dateTime	[DK] tilstandsoprettelsestid
recorder		0..0		Who recorded the condition
asserter		0..0		Person who asserts this condition
stage		0..0		Stage/grade, usually assessed formally
evidence		0..0		Supporting evidence
note		0..0		Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to 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
coding	Σ	1..1	Coding	[DK] tilstandsfokus
id		0..1	string	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
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	required	KLFunktionsevneniveauFSIII	📦2.4.0	KL Terminologi v2.4
Condition.code	Base	required	FSIIICareConditions	📦1.3.0	This IG
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions	(severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

This structure is derived from Condition

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 22 elements

Structures

This structure refers to these other structures:

• CareCitizen (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-citizen)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension