Virtually Healthcare HL7 FHIR Implementation Guide
0.1.0-current - ci-build United Kingdom flag

Virtually Healthcare HL7 FHIR 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/Virtually-Healthcare-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Resource Profile: Condition

Official URL: https://fhir.virtually.healthcare/StructureDefinition/Condition Version: 0.1.0-current
Draft as of 2024-11-06 Computable Name: Condition

Extension to UKCore Condition and includes elements from HL7 International Patient Access

Usage:

Formal Views of Profile Content

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

This structure is derived from UKCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* UKCoreCondition Detailed information about conditions, problems or diagnoses
... Slices for identifier S 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... subject 1..1 Reference(Patient) Who has the condition?
.... identifier 0..1 NHSNumbers An identifier intended for computation

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... conditionEpisode N 0..* CodeableConcept The episodicity status of a condition
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
... Slices for identifier SΣ 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..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.

... severity S 0..1 CodeableConcept Subjective severity of condition
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|).

... subject SΣC 1..1 Reference(Patient) Who has the condition?
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) Who recorded the condition
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredUKCoreConditionCode
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... conditionEpisode N 0..* CodeableConcept The episodicity status of a condition
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
... Slices for identifier SΣ 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..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.

... 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 Subjective severity of condition
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|).

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.


... subject SΣC 1..1 Reference(Patient) Who has the condition?
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) Who recorded the condition
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleUKCoreConditionCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredUKCoreConditionCode
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

This structure is derived from UKCoreCondition

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.identifier (Closed)

Differential View

This structure is derived from UKCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* UKCoreCondition Detailed information about conditions, problems or diagnoses
... Slices for identifier S 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... subject 1..1 Reference(Patient) Who has the condition?
.... identifier 0..1 NHSNumbers An identifier intended for computation

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... conditionEpisode N 0..* CodeableConcept The episodicity status of a condition
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
... Slices for identifier SΣ 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..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.

... severity S 0..1 CodeableConcept Subjective severity of condition
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|).

... subject SΣC 1..1 Reference(Patient) Who has the condition?
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) Who recorded the condition
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredUKCoreConditionCode
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... conditionEpisode N 0..* CodeableConcept The episodicity status of a condition
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
... Slices for identifier SΣ 1..* Identifier External Ids for this condition
Slice: Unordered, Closed by pattern:system
.... identifier:CommonResourceIdentifiers 0..* CommonResourceIdentifiers Common Resource Identifiers
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..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.

... 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 Subjective severity of condition
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|).

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.


... subject SΣC 1..1 Reference(Patient) Who has the condition?
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) Who recorded the condition
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleUKCoreConditionCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredUKCoreConditionCode
https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

This structure is derived from UKCoreCondition

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.identifier (Closed)

 

Other representations of profile: CSV, Excel, Schematron