Colorado BHA FHIR Implementation Guide
0.3.0-current - ci-build United States of America flag

Colorado BHA FHIR Implementation Guide, published by Colorado Behavioral Health Administration. This guide is not an authorized publication; it is the continuous build for version 0.3.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CoBHA/CoBHRM-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: BHA Episode Diagnosis Profile

Official URL: http://bha.colorado.gov/fhir/bha-ig/StructureDefinition/BHAEpisodeDiagnosis Version: 0.3.0-current
Standards status: Trial-use Maturity Level: 1 Computable Name: BHAEpisodeDiagnosis

Diagnosis profile for diagnoses related to BHA episodeOfCare

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.Slices for extension Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate This element must be supported. 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.Slices for category This element must be supported. 2..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core This element must be supported. 1..1 CodeableConcept (USCDI) encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "encounter-diagnosis"
    }
  ]
}
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(BHA Client Profile) (USCDI) Who has the condition?
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 (USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 (USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element must be supported. This element is included in summaries. 0..1 dateTime (USCDI) Date record was first recorded

doco 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.category:us-core Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from USCoreConditionEncounterDiagnosisProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Condition.category 2..* CodeableConcept (USCDI) category codes
Condition.Slices for category Content/Rules for all slices
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.code
Condition.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.encounter 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 0..1 id Logical id of this artifact
Condition.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Condition.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
Condition.contained 0..* Resource Contained, inline Resources
Condition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate This element must be supported. 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element is included in summaries. 0..* Identifier External Ids for this condition
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.Slices for category This element must be supported. 2..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core This element must be supported. 1..1 CodeableConcept (USCDI) encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "encounter-diagnosis"
    }
  ]
}
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.code.id 0..1 string Unique id for inter-element referencing
Condition.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Condition.bodySite This element is included in summaries. 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(BHA Client Profile) (USCDI) Who has the condition?
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 (USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 (USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element must be supported. This element is included in summaries. 0..1 dateTime (USCDI) Date record was first recorded
Condition.recorder This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
Condition.asserter This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
Condition.stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
Condition.stage.type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) Supporting information found elsewhere
Condition.note 0..* Annotation Additional information about the Condition

doco 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.category:us-core Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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

This structure is derived from USCoreConditionEncounterDiagnosisProfile

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.Slices for extension Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate This element must be supported. 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.Slices for category This element must be supported. 2..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core This element must be supported. 1..1 CodeableConcept (USCDI) encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "encounter-diagnosis"
    }
  ]
}
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(BHA Client Profile) (USCDI) Who has the condition?
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 (USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 (USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element must be supported. This element is included in summaries. 0..1 dateTime (USCDI) Date record was first recorded

doco 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.category:us-core Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from USCoreConditionEncounterDiagnosisProfile

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Condition.category 2..* CodeableConcept (USCDI) category codes
Condition.Slices for category Content/Rules for all slices
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.code
Condition.code.Slices for coding This element must be supported. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.subject 1..1 Reference(BHA Client Profile) (USCDI) Who has the condition?
Condition.encounter 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* USCoreConditionEncounterDiagnosisProfile(6.1.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 0..1 id Logical id of this artifact
Condition.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Condition.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
Condition.contained 0..* Resource Contained, inline Resources
Condition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate This element must be supported. 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element is included in summaries. 0..* Identifier External Ids for this condition
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.Slices for category This element must be supported. 2..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core This element must be supported. 1..1 CodeableConcept (USCDI) encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "encounter-diagnosis"
    }
  ]
}
Condition.Slices for category.category:diagnosisType This element must be supported. 0..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ValueSet for BHA Diagnosis Type (required)
Condition.severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.code.id 0..1 string Unique id for inter-element referencing
Condition.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.code.Slices for coding.coding:BHAServiceIdentifier This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Binding: ValueSet for BHA Service Identifier Codes (required)
Condition.code.Slices for coding.coding:billing This element must be supported. This element is included in summaries. 0..* Coding Code defined by a terminology system
Binding: CO BHA Service Identifiers from ICD-10-CM (required)
Condition.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Condition.bodySite This element is included in summaries. 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(BHA Client Profile) (USCDI) Who has the condition?
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(BHA Encounter Profile) (USCDI) Encounter created as part of
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 (USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 (USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element must be supported. This element is included in summaries. 0..1 dateTime (USCDI) Date record was first recorded
Condition.recorder This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
Condition.asserter This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
Condition.stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
Condition.stage.type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) Supporting information found elsewhere
Condition.note 0..* Annotation Additional information about the Condition

doco 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.category:us-core Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosisType Base required ValueSet for BHA Diagnosis Type 📦0.3.0-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.code.coding:BHAServiceIdentifier Base required ValueSet for BHA Service Identifier Codes 📦0.3.0-current This IG
Condition.code.coding:billing Base required CO BHA Service Identifiers from ICD-10-CM 📦0.3.0-current This IG
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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

This structure is derived from USCoreConditionEncounterDiagnosisProfile

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron