RIVO-Noord Zorgviewer Implementation Guide
1.21.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.21.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Condition

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/Condition Version: 1.21.0
Active as of 2025-10-15 Computable Name: Condition

Problemen

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Probleem

FMS Adequate Registratie

Als bron voor de must-support flags en de UI guidance is gebruikt: Fit-gap analyse probleem

View Definition

ViewDefinition voor Problemen

UI Wireframe

Problemen (incl. diagnosen)

>< Bron Datum Diagnose Status (regelkleur)
+ Chipsoft 1-1-2001 fractuur van pols Actueel active
Diagnose
NullFlavor#OTH other
Toelichting
Gevallen op kunstijsbaan.
+ Epic-note 23-2-2023 posttraumatische stressstoornis (incl. de posttraumatische-stressstoornis bij ki... Actueel active
Diagnose
ICD-10#F43.1
Toelichting
2022-02: ziekte van Crohn
2021-07: Complicatie ANPY infectie lokaal
2021-03: z...
+ Epic 16-8-2012 fractuur van onderste extremiteit Actueel active
Diagnose
ICD-10#T12.0
+ Nexus 1-1-2001 fractuur van pols Niet actueel inactive
Diagnose
SNOMED CT#31641000146105 fractuur van pols
Toelichting
Gevallen op kunstijsbaan

Kolom Definities

Kolom label FHIR Path Expression FHIR Type Zib element Toelichting of regels
Bron meta.extension('http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source').valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Datum onsetPeriod.start | onsetDateTime dateTime ProbleemBeginDatum Laat één datum zien als de .onsetDateTime en .onsetPeriod hetzelfde zijn
Diagnose code.text | code.coding[0].display string ProbleemNaam
Status clinicalStatus.lookup('ProbleemStatus').display code ProbleemStatus Zie voor labels: ValueSet-ProbleemStatus
UITKLAPVELD
+Diagnose code.coding[0].select(system.lookup('CodeSystems')[0].display+'#' + code + ' ' + iif(exists(display),display,'')) string ProbleemNaam Meerdere codes mogelijk.
Ignore NullFlavor.
Lookup system label middels <terminologie-base>/CodeSystem?url=<.system> en gebruik dan .display
Zie voor labels: ValueSet-CodeSystems
+Toelichting note.text string Toelichting
MARKERING
(regelkleur) clinicalStatus code ProbleemStatus Actueel (active,recurrence) = groene rijen, dikgedrukt
Niet actueel (inactive,remission,resolved) = grijze rijen

Zoeken naar codes

  • DHD T-Rex - system=http://snomed.info/sct
  • ICD-10-NL - system=http://hl7.org/fhir/sid/icd-10-nl
  • ICPC-1 NL - system=http://hl7.org/fhir/sid/icpc-1-nl

Request

  1. Opvragen (search) actieve en gesloten problemen

    GET <ontsluiten-bronsysteem-base>/Condition?patient=<fhir_patient_id>[&clinical-status=active,resolved]

    N.B. De clinical-status parameter is niet meer nodig als de Epic Feb '23 is geinstalleerd.

Uitzondering onsetDateTime, onsetPeriod, abatementDateTime en abatementPeriod

N.B. In tegenstelling tot het officiele zib profiel wordt in de praktijk voor de onset zowel een exacte datum (dateTime) geaccepteerd als een vage of range (period, b.v. ergens in 2011) datum.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.20.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: con-4, con-3, zv-con-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
    .... Slices for extension Content/Rules for all slices
    ..... extension:ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
    .... Slices for extension Content/Rules for all slices
    ..... extension:VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) Who has the condition?
    ... Slices for onsetDateTime Content/Rules for all slices
    .... onsetDateTime:onsetDateTime SΣ 0..1 dateTime ProblemStartDate
    ... Slices for abatementDateTime Content/Rules for all slices
    .... abatementDateTime:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Condition.clinicalStatus Base required Condition Clinical Status Codes 📦3.0.2 FHIR Std.
    Condition.clinicalStatus.​extension:ProblemStatusCodelist.​value[x] Base extensible ProbleemStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.verificationStatus Base required ConditionVerificationStatus 📦3.0.2 FHIR Std.
    Condition.verificationStatus.​extension:VerificatieStatusCodelijst.​value[x] Base extensible VerificatieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG

    Constraints

    Id Grade Path(s) Description Expression
    con-3 error Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1 error Condition If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error Condition.clinicalStatus.extension:ProblemStatusCodelist, Condition.verificationStatus.extension:VerificatieStatusCodelijst Must have either extensions or value[x], not both extension.exists() != value.exists()
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()

    This structure is derived from Zib Problem

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: zv-con-1
    ... clinicalStatus S 1..1 code ProblemStatus
    ... code S 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text S 0..1 string Plain text representation of the concept
    ​... onset[x] S 0..1 dateTime ProblemStartDate

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG

    Constraints

    Id Grade Path(s) Description Expression
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: con-4, con-3, zv-con-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... 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 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 0..1 code VerificationStatus
    Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... category 0..* CodeableConcept ProblemType
    Binding: ProbleemTypeCodelijst (extensible): The type of problem.
    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text SΣ 0..1 string Plain text representation of the concept
    ... bodySite Σ 0..* CodeableConcept ProblemAnatomicalLocation
    Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:Laterality 0..1 (Complex) ProblemLaterality
    URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
    ...... value[x] 0..1 CodeableConcept BodySite qualifier
    Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) Who has the condition?
    ... context Σ 0..1 Reference(HCIM Encounter(2.1.6) | nl-core-episodeofcare(1.1.4)) Encounter or episode when condition first asserted
    ... Slices for onsetDateTime Content/Rules for all slices
    .... onsetDateTime:onsetDateTime SΣ 0..1 dateTime ProblemStartDate
    ... Slices for abatementDateTime Content/Rules for all slices
    .... abatementDateTime:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... assertedDate Σ 0..1 dateTime Date record was believed accurate
    ... asserter Σ 0..1 Reference(nl-core-relatedperson(2.0.5) | nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7)) Person who asserts this condition
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... stage C 0..1 BackboneElement Stage/grade, usually assessed formally
    Constraints: con-1
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    ... evidence C 0..* BackboneElement Supporting evidence
    Constraints: con-2
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Condition.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    Condition.clinicalStatus Base required Condition Clinical Status Codes 📦3.0.2 FHIR Std.
    Condition.clinicalStatus.​extension:ProblemStatusCodelist.​value[x] Base extensible ProbleemStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.verificationStatus Base required ConditionVerificationStatus 📦3.0.2 FHIR Std.
    Condition.verificationStatus.​extension:VerificatieStatusCodelijst.​value[x] Base extensible VerificatieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.category Base extensible ProbleemTypeCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.severity Base preferred Condition/Diagnosis Severity 📦3.0.2 FHIR Std.
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG
    Condition.bodySite Base extensible ProbleemAnatomischeLocatieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.bodySite.extension:Laterality.​value[x] Base extensible ProbleemLateraliteitCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.stage.summary Base example Condition Stage 📦3.0.2 FHIR Std.
    Condition.evidence.code Base example Manifestation and Symptom Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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 error Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1 error Condition If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error Condition.clinicalStatus.extension:ProblemStatusCodelist, Condition.verificationStatus.extension:VerificatieStatusCodelijst, Condition.bodySite.extension:Laterality, Condition.asserter.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()

    This structure is derived from Zib Problem

    Summary

    Mandatory: 2 elements
    Must-Support: 5 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: con-4, con-3, zv-con-1
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
    .... Slices for extension Content/Rules for all slices
    ..... extension:ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
    .... Slices for extension Content/Rules for all slices
    ..... extension:VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) Who has the condition?
    ... Slices for onsetDateTime Content/Rules for all slices
    .... onsetDateTime:onsetDateTime SΣ 0..1 dateTime ProblemStartDate
    ... Slices for abatementDateTime Content/Rules for all slices
    .... abatementDateTime:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Condition.clinicalStatus Base required Condition Clinical Status Codes 📦3.0.2 FHIR Std.
    Condition.clinicalStatus.​extension:ProblemStatusCodelist.​value[x] Base extensible ProbleemStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.verificationStatus Base required ConditionVerificationStatus 📦3.0.2 FHIR Std.
    Condition.verificationStatus.​extension:VerificatieStatusCodelijst.​value[x] Base extensible VerificatieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG

    Constraints

    Id Grade Path(s) Description Expression
    con-3 error Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1 error Condition If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error Condition.clinicalStatus.extension:ProblemStatusCodelist, Condition.verificationStatus.extension:VerificatieStatusCodelijst Must have either extensions or value[x], not both extension.exists() != value.exists()
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()

    Differential View

    This structure is derived from Zib Problem

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: zv-con-1
    ... clinicalStatus S 1..1 code ProblemStatus
    ... code S 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text S 0..1 string Plain text representation of the concept
    ​... onset[x] S 0..1 dateTime ProblemStartDate

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG

    Constraints

    Id Grade Path(s) Description Expression
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Condition C 0..* Zib Problem(3.0.7) Problem
    Constraints: con-4, con-3, zv-con-1
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... 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 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 0..1 code VerificationStatus
    Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... value[x] 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
    .... value 0..1 code Primitive value for code
    ... category 0..* CodeableConcept ProblemType
    Binding: ProbleemTypeCodelijst (extensible): The type of problem.
    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text SΣ 0..1 string Plain text representation of the concept
    ... bodySite Σ 0..* CodeableConcept ProblemAnatomicalLocation
    Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:Laterality 0..1 (Complex) ProblemLaterality
    URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
    Constraints: ext-1
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..0
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
    ...... value[x] 0..1 CodeableConcept BodySite qualifier
    Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient(2.2.5)) Who has the condition?
    ... context Σ 0..1 Reference(HCIM Encounter(2.1.6) | nl-core-episodeofcare(1.1.4)) Encounter or episode when condition first asserted
    ... Slices for onsetDateTime Content/Rules for all slices
    .... onsetDateTime:onsetDateTime SΣ 0..1 dateTime ProblemStartDate
    ... Slices for abatementDateTime Content/Rules for all slices
    .... abatementDateTime:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... assertedDate Σ 0..1 dateTime Date record was believed accurate
    ... asserter Σ 0..1 Reference(nl-core-relatedperson(2.0.5) | nl-core-patient(2.2.5) | nl-core-practitioner(2.0.7)) Person who asserts this condition
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:practitionerRole 0..1 Reference(nl-core-practitionerrole(2.0.7)) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    Constraints: ext-1
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... stage C 0..1 BackboneElement Stage/grade, usually assessed formally
    Constraints: con-1
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    ... evidence C 0..* BackboneElement Supporting evidence
    Constraints: con-2
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Condition.language Base extensible Common Languages 📦3.0.2 FHIR Std.
    Condition.clinicalStatus Base required Condition Clinical Status Codes 📦3.0.2 FHIR Std.
    Condition.clinicalStatus.​extension:ProblemStatusCodelist.​value[x] Base extensible ProbleemStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.verificationStatus Base required ConditionVerificationStatus 📦3.0.2 FHIR Std.
    Condition.verificationStatus.​extension:VerificatieStatusCodelijst.​value[x] Base extensible VerificatieStatusCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.category Base extensible ProbleemTypeCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.severity Base preferred Condition/Diagnosis Severity 📦3.0.2 FHIR Std.
    Condition.code Base extensible Zorgviewer probleem naam waardelijst 📦1.21.0 This IG
    Condition.bodySite Base extensible ProbleemAnatomischeLocatieCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.bodySite.extension:Laterality.​value[x] Base extensible ProbleemLateraliteitCodelijst 📦2017-12-31T00:00:00 nictiz.fhir.nl.stu3.zib2017 v2.0
    Condition.stage.summary Base example Condition Stage 📦3.0.2 FHIR Std.
    Condition.evidence.code Base example Manifestation and Symptom Codes 📦3.0.2 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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 error Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1 error Condition If the resource is contained in another resource, it SHALL NOT contain any narrative contained.text.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 contained.where(('#'+id in %resource.descendants().reference).not()).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()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() | (children().count() > id.count())
    ext-1 error Condition.clinicalStatus.extension:ProblemStatusCodelist, Condition.verificationStatus.extension:VerificatieStatusCodelijst, Condition.bodySite.extension:Laterality, Condition.asserter.extension:practitionerRole Must have either extensions or value[x], not both extension.exists() != value.exists()
    zv-con-1 error Condition At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present onsetDateTime.exists() or onsetPeriod.exists()

    This structure is derived from Zib Problem

    Summary

    Mandatory: 2 elements
    Must-Support: 5 elements

     

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