Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Resource Profile: ADHA Core Condition

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1 Version: 1.0.1
Active as of 2024-09-12 Computable Name: ADHAConditionCore

Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a core representation of a condition for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile supports a statement of a condition, problem, or diagnosis including asserting negation for specific conditions or problems.

This profile identifies the additional constraints, extensions, and value sets that build on and extend Condition that are supported.

This profile is designed to set a core Condition standard for:

  • Query for a patient's conditions
  • Record or update a condition belonging to a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

  • Condition.category provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.
  • An active condition is represented using "active" in Condition.clinicalStatus.
  • To represent that a patient does not have a condition or history of condition, an appropriate negation code is used in Condition.code.
  • Refutation is not expected to be handled except as above - an appropriate negation code in Condition.code and Condition.verificationStatus of "confirmed" or "unconfirmed".

Usage:

Formal Views of Profile Content

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

This structure is derived from AUBaseCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... clinicalStatus SC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter S 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] S 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] S 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... 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 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 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 S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this 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 C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... 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: Clinical Finding . (preferred)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
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.codepreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Differential View

This structure is derived from AUBaseCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... clinicalStatus SC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter S 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] S 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] S 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUBaseCondition A condition, problem or diagnosis statement in an Australian healthcare context
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
... 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 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 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 S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-03: At least reference or a valid identifier shall be present
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-04: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this 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 C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... 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: Clinical Finding . (preferred)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
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.codepreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.bodySiteIf a coded body site is provided, at least one code shall be from SNOMED CT
: coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05errorConditionClinical status shall be present if verification status is not entered-in-error
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

Name Type Conformance Description Path
category token SHALL The category of the condition Condition.category
subject:identifier token SHALL Who has the condition? Condition.subject.identifier
code token SHALL Code for the condition Condition.code
clinical-status token SHALL The clinical status of the condition Condition.clinicalStatus
onset-date token SHOULD Date related onsets (dateTime and Period) Condition.onset.as(dateTime) | Condition.onset.as(Period)
abatement-date token SHOULD Date-related abatements (dateTime and period) Condition.abatement.as(dateTime) | Condition.abatement.as(Period)

Mandatory Search Parameters

The following search parameters and search parameter combinations SHALL be supported:

  1. SHALL support searching for all conditions for a patient using the subject:identifier search parameter:

    GET [base]/Condition?subject:identifier={system|}[code]

    Example:

     GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
    

    Implementation Notes: Fetches a bundle of all Condition resources for the specified patient (how to search by :identifier)

  2. SHALL support searching using the combination subject:identifier and category search parameter:

    GET [base]/Condition?subject:identifier={system|}[code]&category={system|}[code]

    Example:

     GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item
    

    Implementation Notes: Fetches a bundle of all Condition resources with the category of "Problem List Item" for the specified patient (how to search by :identifier)

  3. SHALL support searching using the combination subject:identifier and code search parameter:

    GET [base]/Condition?subject:identifier={system|}[code]&code={system|}[code]

    Example:

     GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&code=http://snomed.info/sct|68566005
    

    Implementation Notes: Fetches a bundle of all Condition resources with the code of an 68566005 (Urinary tract infection) for the specified patient (how to search by :identifier and how to search by token)

  4. SHALL support searching using the combination subject:identifier and clinical-status search parameter:

    GET [base]/Condition?subject:identifier={system|}[code]&clinical-status={system|}[code]

    Example:

     GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active
    

    Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and status code. This will not return any "entered in error" resources because of the conditional presence of the clinicalStatus element. (how to search by :identifier and how to search by token)