Imaging Diagnostic Report
0.0.1-current - ci-build
Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions
Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-impression-condition | Version: 0.0.1-current | |||
Draft as of 2024-06-25 | Computable Name: IDRImpressionCondition |
An impression as a condition in imaging report.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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Condition | |||
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S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality |
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S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood |
![]() ![]() ![]() ![]() |
S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder |
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S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable |
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S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental |
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S | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
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S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) |
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S | 0..1 | CodeableConcept | Subjective severity of condition |
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S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis |
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S | 1..1 | CodeableConcept | Anatomical location, if relevant |
![]() ![]() ![]() |
S | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved |
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S | 0..* | BackboneElement | Stage/grade, usually assessed formally |
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S | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status |
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Path | Conformance | ValueSet | URI |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood |
![]() ![]() ![]() ![]() |
S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable |
![]() ![]() ![]() ![]() |
S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
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?!SΣ | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
![]() ![]() ![]() |
SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. |
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SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis. |
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SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts |
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Σ | 1..1 | Reference(Patient | Group) | Who has the condition? |
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SΣ | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | Who or what participated in the activities related to the condition |
![]() ![]() ![]() |
SC | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example) |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard | |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG | |
Condition.severity | preferred | ConditionDiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Condition.evidence | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
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S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder | ||||
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S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable | ||||
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S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
![]() ![]() ![]() |
?!SΣ | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
![]() ![]() ![]() |
SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) | ||||
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
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Σ | 1..1 | Reference(Patient | Group) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | The Encounter during which this Condition was created | ||||
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Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | Date condition was first recorded | ||||
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SΣ | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of involvement Binding: ParticipationRoleType (extensible) | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | Who or what participated in the activities related to the condition | ||||
![]() ![]() ![]() |
SC | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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SΣ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example) | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet | URI |
Condition.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard | |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG | |
Condition.severity | preferred | ConditionDiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Condition.participant.function | extensible | ParticipationRoleTypehttp://hl7.org/fhir/ValueSet/participation-role-type 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 | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from Condition
Summary
Mandatory: 7 elements
Must-Support: 14 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
Condition | |||
![]() ![]() ![]() |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood |
![]() ![]() ![]() ![]() |
S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable |
![]() ![]() ![]() ![]() |
S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Anatomical location, if relevant |
![]() ![]() ![]() |
S | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved |
![]() ![]() ![]() |
S | 0..* | BackboneElement | Stage/grade, usually assessed formally |
![]() ![]() ![]() |
S | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status |
![]() |
Path | Conformance | ValueSet | URI |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood |
![]() ![]() ![]() ![]() |
S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable |
![]() ![]() ![]() ![]() |
S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
![]() ![]() ![]() |
?!SΣ | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
![]() ![]() ![]() |
SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis. |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Who has the condition? |
![]() ![]() ![]() |
SΣ | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | Who or what participated in the activities related to the condition |
![]() ![]() ![]() |
SC | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
SΣ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example) |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard | |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG | |
Condition.severity | preferred | ConditionDiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Condition.evidence | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
![]() ![]() ![]() |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | CodeableConcept | IDR BodySite Laterality in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLaterality | ||||
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S | 0..1 | CodeableConcept | IDR BodySite Likelihood in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood | ||||
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S | 1..1 | positiveInt | Impression Order. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/IDRImpressionOrder | ||||
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S | 0..1 | CodeableConcept | Actionable indication in Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable | ||||
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S | 0..1 | boolean | Incidental indication of Impression. URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionIncidental | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
![]() ![]() ![]() |
?!SΣ | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
![]() ![]() ![]() |
SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Impression Condition category ValueSet (required) | ||||
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | The Encounter during which this Condition was created | ||||
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Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | Date condition was first recorded | ||||
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SΣ | 1..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of involvement Binding: ParticipationRoleType (extensible) | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | Who or what participated in the activities related to the condition | ||||
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SC | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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SΣ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example) | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet | URI |
Condition.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard | |
Condition.category | required | IDRImpressionConditionCategoryVS (a valid code from IDR Impression category)https://profiles.ihe.net/RAD/IDR/ValueSet/idr-impression-condition-category-vs from this IG | |
Condition.severity | preferred | ConditionDiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Condition.participant.function | extensible | ParticipationRoleTypehttp://hl7.org/fhir/ValueSet/participation-role-type 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 | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from Condition
Summary
Mandatory: 7 elements
Must-Support: 14 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron