Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | TU | DomainResource | Detailed information about conditions, problems or diagnoses + Warning: If category is problems list item, the clinicalStatus should not be unknown + Rule: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. + Rule: bodyStructure SHALL only be present if Condition.bodySite is not present Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
identifier | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: Condition Clinical Status Codes (Required) |
verificationStatus | ?!Σ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: Condition Verification Status (Required) |
category | C | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes (Preferred) |
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (Preferred) | |
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/Diagnosis Codes (Example) |
bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMED CT Body Structures (Example) |
bodyStructure | C | 0..1 | Reference(BodyStructure) | Anatomical body structure |
subject | Σ | 1..1 | Reference(Patient | Group) | 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 |
participant | Σ | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved |
function | Σ | 0..1 | CodeableConcept | Type of involvement Binding: Participation Role Type (Extensible) |
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | Who or what participated in the activities related to the condition |
stage | CTU | 0..* | BackboneElement | Stage/grade, usually assessed formally + Rule: Stage SHALL have summary or assessment |
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (Example) |
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment |
type | 0..1 | CodeableConcept | Kind of staging Binding: Condition Stage Type (Example) | |
evidence | ΣTU | 0..* | CodeableReference(Any) | Supporting evidence for the condition Binding: SNOMED CT Clinical Findings (Example) |
note | 0..* | Annotation | Additional information about the Condition | |
Documentation for this format |