Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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Resource Profile: Condición

Este perfil representa las restricciones aplicadas al recurso Condition por la Guía de Implementación FHIR del Resumen Internacional del Paciente Adaptación de Chile . 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:

• Use this Resource Profile: Bundle Resumen Clínico
• Refer to this Resource Profile: Documento
• Examples for this Resource Profile: Condition/Condition-CL-Ejemplo

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

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	?!SΣC	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	?!SΣC	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) Additional Bindings Purpose Problem Type (LOINC) candidate 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	SΣ	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	SΣ	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)	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

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

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()

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) Additional Bindings Purpose Problem Type (LOINC) candidate
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)	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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://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
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	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) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred)
code	SΣ	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	SΣ	0..*	CodeableConceptIPS	Ubicación del cuerpo donde se presenta el problema Binding: SNOMEDCTBodyStructures (example)
subject	SΣ	1..1	Reference(Paciente)	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

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

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:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)

Maturity: 1

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	?!SΣC	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	?!SΣC	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) Additional Bindings Purpose Problem Type (LOINC) candidate 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	SΣ	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	SΣ	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)	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

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

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()

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) Additional Bindings Purpose Problem Type (LOINC) candidate
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)	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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	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) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Grado de severidad del problema Binding: Condition/DiagnosisSeverity (preferred)
code	SΣ	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	SΣ	0..*	CodeableConceptIPS	Ubicación del cuerpo donde se presenta el problema Binding: SNOMEDCTBodyStructures (example)
subject	SΣ	1..1	Reference(Paciente)	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

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

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:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron