IPS-CL
0.1.0 - ci-build Chile flag

IPS-CL, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions

Resource Profile: Condición (IPS-CL)

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Condition-cl-ips Version: 0.1.0
Draft as of 2024-09-23 Computable Name: ConditionClIps

Este perfil representa las restricciones aplicadas al recurso Condition por la Guía de Implementación FHIR del Resumen Internacional del Paciente Adaptación de Chile (IPS-CL). Un registro de un problema se representa en el resumen del paciente como una instancia del recurso Condition restringido por este perfil.

Representación de un problema en el resumen internacional del paciente.

Usage:

Formal Views of Profile Content

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

This structure is derived from DiagnosticoCl

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition DiagnosticoCl
... clinicalStatus 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... verificationStatus 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate
... code 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... reference 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
... onset[x] 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime
.... onsetPeriod Period

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* DiagnosticoCl Detailed information about conditions, problems or diagnoses
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar

... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Grado de severidad del problema
Binding: Condition/DiagnosisSeverity (preferred)
... code S 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... reference SΣC 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
... onset[x] SΣ 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* DiagnosticoCl Detailed information about conditions, problems or diagnoses
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
... 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 S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar

... verificationStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): Códigos definidos por estándar

... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Grado de severidad del problema
Binding: Condition/DiagnosisSeverity (preferred)
... code S 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... 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 record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 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
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
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.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DiagnosticoCl

Differential View

This structure is derived from DiagnosticoCl

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition DiagnosticoCl
... clinicalStatus 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... verificationStatus 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate
... code 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... reference 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
... onset[x] 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime
.... onsetPeriod Period

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* DiagnosticoCl Detailed information about conditions, problems or diagnoses
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar

... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Grado de severidad del problema
Binding: Condition/DiagnosisSeverity (preferred)
... code S 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... reference SΣC 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
... onset[x] SΣ 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* DiagnosticoCl Detailed information about conditions, problems or diagnoses
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
... 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 S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar

... verificationStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): Códigos definidos por estándar

... category S 0..* CodeableConceptIPS Concepto que referencia a una terminología o un texto acorde
Binding: Problem Type (LOINC) (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Grado de severidad del problema
Binding: Condition/DiagnosisSeverity (preferred)
... code S 1..1 CodeableConceptIPS Código del problema clínico
Binding: Problems - IPS (preferred): Código para un problema clínico (o problema ausente/desconocido) que se selecciona de SNOMED CT.

... bodySite S 0..* CodeableConceptIPS Ubicación del cuerpo donde se presenta el problema
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Paciente IPS-CL) Paciente sobre al que corresponde la condición.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Fecha, fecha y hora estimada o real.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... 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 record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 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
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleProblemTypeLoinc
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-loinc
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
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.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DiagnosticoCl

 

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