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 | ?! Σ C | 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 | Σ C | 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 | C TU | 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 | Σ TU | 0..* | CodeableReference( Any) | Supporting evidence for the condition
Binding: SNOMED CT Clinical Findings ( Example) |
note | 0..* | Annotation | Additional information about the Condition
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Documentation for this format |