Resumen Clínico de Paciente de Chile (IPS-CL)
0.3.0-ballot - STU2 Ballot 1
Resumen Clínico de Paciente de Chile (IPS-CL), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot 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
Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Condition-cl-ips | Version: 0.3.0-ballot | |||
Standards status: Draft | Maturity Level: 1 | 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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticoCl
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | DiagnosticoCl | |||||||
clinicalStatus | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde | |||||
verificationStatus | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde | |||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
| ||||
severity | S | 0..1 | CodeableConceptIPS | Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred) | ||||
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 condición | |||||
onset[x] | 0..1 | Fecha, fecha y hora estimada o real. | ||||||
onsetDateTime | dateTime | |||||||
onsetPeriod | Period | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
clinicalStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children | ||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionVerificationStatus (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children | ||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
ele-1: All FHIR elements must have a @value or children | ||||
severity | S | 0..1 | CodeableConceptIPS | Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred) ele-1: All FHIR elements must have a @value or children | ||||
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. ele-1: All FHIR elements must have a @value or children | ||||
bodySite | S | 0..* | CodeableConceptIPS | Ubicación del cuerpo donde se presenta el problema Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Paciente sobre al que corresponde la condición. ele-1: All FHIR elements must have a @value or children | ||||
reference | SΣC | 1..1 | string | Referencia al recurso del Paciente al cual se indica el diagnóstico o condición ele-1: All FHIR elements must have a @value or children | ||||
onset[x] | SΣ | 0..1 | Fecha, fecha y hora estimada o real. ele-1: All FHIR elements must have a @value or children | |||||
onsetDateTime | dateTime | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.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-4 | error | Condition | If 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-5 | error | Condition | Condition.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-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If 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-4 | error | Condition | If 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar | ||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionVerificationStatus (required): Códigos definidos por estándar | ||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
| ||||
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 condición | ||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.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-4 | error | Condition | If 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-5 | error | Condition | Condition.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-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If 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-4 | error | Condition | If 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticoCl
Summary
Mandatory: 2 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Maturity: 1
Differential View
This structure is derived from DiagnosticoCl
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | DiagnosticoCl | |||||||
clinicalStatus | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde | |||||
verificationStatus | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde | |||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
| ||||
severity | S | 0..1 | CodeableConceptIPS | Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred) | ||||
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 condición | |||||
onset[x] | 0..1 | Fecha, fecha y hora estimada o real. | ||||||
onsetDateTime | dateTime | |||||||
onsetPeriod | Period | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
clinicalStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children | ||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionVerificationStatus (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children | ||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
ele-1: All FHIR elements must have a @value or children | ||||
severity | S | 0..1 | CodeableConceptIPS | Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred) ele-1: All FHIR elements must have a @value or children | ||||
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. ele-1: All FHIR elements must have a @value or children | ||||
bodySite | S | 0..* | CodeableConceptIPS | Ubicación del cuerpo donde se presenta el problema Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Paciente sobre al que corresponde la condición. ele-1: All FHIR elements must have a @value or children | ||||
reference | SΣC | 1..1 | string | Referencia al recurso del Paciente al cual se indica el diagnóstico o condición ele-1: All FHIR elements must have a @value or children | ||||
onset[x] | SΣ | 0..1 | Fecha, fecha y hora estimada o real. ele-1: All FHIR elements must have a @value or children | |||||
onsetDateTime | dateTime | |||||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.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-4 | error | Condition | If 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-5 | error | Condition | Condition.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-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If 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-4 | error | Condition | If 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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 | Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar | ||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: ConditionVerificationStatus (required): Códigos definidos por estándar | ||||
category | S | 0..* | CodeableConceptIPS | Concepto que referencia a una terminología o un texto acorde Binding: Problem Type - IPS (extensible)
| ||||
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 condición | ||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.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-4 | error | Condition | If 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-5 | error | Condition | Condition.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-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If 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-4 | error | Condition | If 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticoCl
Summary
Mandatory: 2 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron