Virtually Healthcare HL7 FHIR R4 Implementation Guide
0.1.0-current - ci-build
Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions
Official URL: https://fhir.virtually.healthcare/StructureDefinition/Condition | Version: 0.1.0-current | |||
Draft as of 2024-12-02 | Computable Name: Condition |
Extension to UKCore Condition with requirements from HL7 IPA Condition
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from UKCoreCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses | |
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation |
code | ||||
Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | |
coding:SNOMED | S | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
coding:LOINC | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
subject | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. | |
identifier | 0..1 | NHSNumbers | An identifier intended for computation | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | |
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
bodyStructureR6 | N | 0..1 | Reference(BodyStructure) | An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition. URL: http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure |
conditionEpisode | N | 0..* | CodeableConcept | The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode Binding: UK Core Condition Episodicity (extensible) |
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | The clinical status of the condition. Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | The verification status to support the clinical status of the condition. Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
severity | S | 0..1 | CodeableConcept | A subjective assessment of the severity of the condition as evaluated by the clinician. Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. |
code | SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis. Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). |
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system |
coding:SNOMED | SΣ | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
coding:LOINC | Σ | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
subject | SΣC | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. ref-1: SHALL have a contained resource if a local reference is provided |
identifier | 0..1 | NHSNumbers | An identifier intended for computation | |
abatement[x] | C | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recorder | SΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Individual who recorded the record and takes responsibility for its content. ref-1: SHALL have a contained resource if a local reference is provided |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | UKCoreConditionCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode | |
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | |
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
bodyStructureR6 | N | 0..1 | Reference(BodyStructure) | An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition. URL: http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure | ||||
conditionEpisode | N | 0..* | CodeableConcept | The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode Binding: UK Core Condition Episodicity (extensible) | ||||
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | The clinical status of the condition. Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | The verification status to support the clinical status of the condition. Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: UK Core Condition Category (extensible): A ValueSet to identify the category of a condition. | |||||
severity | S | 0..1 | CodeableConcept | A subjective assessment of the severity of the condition as evaluated by the clinician. Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||
code | SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis. Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | ||||
coding:SNOMED | SΣ | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:LOINC | Σ | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | ||||
subject | SΣC | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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 | 0..1 | NHSNumbers | An identifier intended for computation | |||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | ΣC | 0..1 | Reference(Encounter) | Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided | ||||
onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
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 | SΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Individual who recorded the record and takes responsibility for its content. ref-1: SHALL have a contained resource if a local reference is provided | ||||
asserter | ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
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 ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
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 ref-1: SHALL have a contained resource if a local reference is provided | ||||
note | 0..* | Annotation | Additional information about the Condition | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | UKCoreConditionCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | UKCoreConditionCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode | ||||
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | ||||
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Condition.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
This structure is derived from UKCoreCondition
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from UKCoreCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses | |
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation |
code | ||||
Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | |
coding:SNOMED | S | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
coding:LOINC | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
subject | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. | |
identifier | 0..1 | NHSNumbers | An identifier intended for computation | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | |
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
bodyStructureR6 | N | 0..1 | Reference(BodyStructure) | An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition. URL: http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure |
conditionEpisode | N | 0..* | CodeableConcept | The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode Binding: UK Core Condition Episodicity (extensible) |
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | The clinical status of the condition. Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | The verification status to support the clinical status of the condition. Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
severity | S | 0..1 | CodeableConcept | A subjective assessment of the severity of the condition as evaluated by the clinician. Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. |
code | SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis. Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). |
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system |
coding:SNOMED | SΣ | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
coding:LOINC | Σ | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
subject | SΣC | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. ref-1: SHALL have a contained resource if a local reference is provided |
identifier | 0..1 | NHSNumbers | An identifier intended for computation | |
abatement[x] | C | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recorder | SΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Individual who recorded the record and takes responsibility for its content. ref-1: SHALL have a contained resource if a local reference is provided |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | preferred | UKCoreConditionCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode | |
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | |
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | UKCoreCondition | Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
bodyStructureR6 | N | 0..1 | Reference(BodyStructure) | An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition. URL: http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure | ||||
conditionEpisode | N | 0..* | CodeableConcept | The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode Binding: UK Core Condition Episodicity (extensible) | ||||
modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
identifier | S | 1..* | CommonResourceIdentifiers | An identifier intended for computation | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | The clinical status of the condition. Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | The verification status to support the clinical status of the condition. Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: UK Core Condition Category (extensible): A ValueSet to identify the category of a condition. | |||||
severity | S | 0..1 | CodeableConcept | A subjective assessment of the severity of the condition as evaluated by the clinician. Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||
code | SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis. Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system | ||||
coding:SNOMED | SΣ | 0..* | Coding | Code defined by a terminology system Binding: VH Condition Code (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:LOINC | Σ | 0..* | Coding | Code defined by a terminology system Binding: LOINCCodes (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | ||||
subject | SΣC | 1..1 | Reference(Patient) | Indicates the patient or group who the condition record is associated with. ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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 | 0..1 | NHSNumbers | An identifier intended for computation | |||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | ΣC | 0..1 | Reference(Encounter) | Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided | ||||
onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
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 | SΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Individual who recorded the record and takes responsibility for its content. ref-1: SHALL have a contained resource if a local reference is provided | ||||
asserter | ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
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 ref-1: SHALL have a contained resource if a local reference is provided | ||||
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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
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 ref-1: SHALL have a contained resource if a local reference is provided | ||||
note | 0..* | Annotation | Additional information about the Condition | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | UKCoreConditionCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | UKCoreConditionCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode | ||||
Condition.code.coding:SNOMED | required | VHConditionCodehttps://fhir.virtually.healthcare/ValueSet/VHConditionCode from this IG | ||||
Condition.code.coding:LOINC | extensible | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard | ||||
Condition.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
This structure is derived from UKCoreCondition
Summary
Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron