Xt-EHR
0.1.0 - ci-build

Xt-EHR, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

Logical Model: EHDSCondition - Detailed Descriptions

Draft as of 2024-11-13

Definitions for the EHDSCondition logical model.

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition

C.15 - EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

ShortCondition (model)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition

Condition identifier

ShortC.15.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCondition.description
Definition

Condition specification in narrative form

ShortC.15.2 - Description
Control0..1
TypeNarrative
6. EHDSCondition.code
Definition

Code identifying the condition, problem or diagnosis

ShortC.15.3 - Code
Control0..1
Binding

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

TypeCodeableConcept
8. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortC.15.4 - Onset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission.

ShortC.15.5 - End date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.category
Definition

Category or categories of the problem.

ShortC.15.6 - Category
Control0..*
TypeCodeableConcept
14. EHDSCondition.clinicalStatus
Definition

Status of the condition/problem (active, resolved, inactive, ...)

ShortC.15.7 - Clinical status
Control0..1
Binding

HL7 Condtion-clinical

TypeCodeableConcept
16. EHDSCondition.resolutionCircumstances
Definition

Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). This field includes "free text" if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortC.15.8 - Resolution circumstances
Control0..*
TypeCodeableReference(Resource)
18. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortC.15.9 - Severity
Control0..1
Binding

HL7 Condtion-severity

TypeCodeableConcept
20. EHDSCondition.anatomicLocation
Definition

The anatomical location including laterality where this condition manifests itself.

ShortC.15.10 - Anatomic location
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortC.15.11 - Stage
Control0..*
Binding

e.g. TNM, ICD-O-3

TypeCodeableConcept
24. EHDSCondition.subject
Definition

Indicates the patient or group who the condition record is associated with.

ShortC.15.12 - Subject
Control1..1
TypeReference(Patient (model), Group (model))
26. EHDSCondition.participant
Definition

Who or what participated in the activities related to the condition and how they were involved.

ShortC.15.13 - Participant
Control0..*
TypeBase
28. EHDSCondition.participant.function
Definition

Type of participant involvement.

ShortC.15.13.1 - Function
Control0..1
Binding

To be specified

TypeCodeableConcept
30. EHDSCondition.participant.actor
Definition

Identify the Health Professional who may be specifically related to the condition, e.g., as a preferred contact.

ShortC.15.13.2 - Actor
Control1..1
TypeReference(Health professional)
32. EHDSCondition.externalResourceRelatedWith
Definition

Identify the External Resource which may be specifically relatedto the problem, for example a link between a rare disease problemand the corresponding guidelines.

ShortC.15.14 - External Resourcerelated with
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortC.15.15 - Diagnosis assertion status
Control0..1
Binding

HL7 Condition-ver-status

TypeCodeableConcept

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition

C.15 - EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.


Base definition for all types defined in FHIR type system.

ShortCondition (model)Base for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition

Condition identifier

ShortC.15.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCondition.description
Definition

Condition specification in narrative form

ShortC.15.2 - Description
Control0..1
TypeNarrative
6. EHDSCondition.code
Definition

Code identifying the condition, problem or diagnosis

ShortC.15.3 - Code
Control0..1
Binding

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

TypeCodeableConcept
8. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortC.15.4 - Onset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission.

ShortC.15.5 - End date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.category
Definition

Category or categories of the problem.

ShortC.15.6 - Category
Control0..*
TypeCodeableConcept
14. EHDSCondition.clinicalStatus
Definition

Status of the condition/problem (active, resolved, inactive, ...)

ShortC.15.7 - Clinical status
Control0..1
Binding

HL7 Condtion-clinical

TypeCodeableConcept
16. EHDSCondition.resolutionCircumstances
Definition

Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). This field includes "free text" if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortC.15.8 - Resolution circumstances
Control0..*
TypeCodeableReference(Resource)
18. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortC.15.9 - Severity
Control0..1
Binding

HL7 Condtion-severity

TypeCodeableConcept
20. EHDSCondition.anatomicLocation
Definition

The anatomical location including laterality where this condition manifests itself.

ShortC.15.10 - Anatomic location
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortC.15.11 - Stage
Control0..*
Binding

e.g. TNM, ICD-O-3

TypeCodeableConcept
24. EHDSCondition.subject
Definition

Indicates the patient or group who the condition record is associated with.

ShortC.15.12 - Subject
Control1..1
TypeReference(Patient (model), Group (model))
26. EHDSCondition.participant
Definition

Who or what participated in the activities related to the condition and how they were involved.

ShortC.15.13 - Participant
Control0..*
TypeBase
28. EHDSCondition.participant.function
Definition

Type of participant involvement.

ShortC.15.13.1 - Function
Control0..1
Binding

To be specified

TypeCodeableConcept
30. EHDSCondition.participant.actor
Definition

Identify the Health Professional who may be specifically related to the condition, e.g., as a preferred contact.

ShortC.15.13.2 - Actor
Control1..1
TypeReference(Health professional)
32. EHDSCondition.externalResourceRelatedWith
Definition

Identify the External Resource which may be specifically relatedto the problem, for example a link between a rare disease problemand the corresponding guidelines.

ShortC.15.14 - External Resourcerelated with
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortC.15.15 - Diagnosis assertion status
Control0..1
Binding

HL7 Condition-ver-status

TypeCodeableConcept

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition

C.15 - EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

ShortCondition (model)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition

Condition identifier

ShortC.15.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCondition.description
Definition

Condition specification in narrative form

ShortC.15.2 - Description
Control0..1
TypeNarrative
6. EHDSCondition.code
Definition

Code identifying the condition, problem or diagnosis

ShortC.15.3 - Code
Control0..1
Binding

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

TypeCodeableConcept
8. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortC.15.4 - Onset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission.

ShortC.15.5 - End date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.category
Definition

Category or categories of the problem.

ShortC.15.6 - Category
Control0..*
TypeCodeableConcept
14. EHDSCondition.clinicalStatus
Definition

Status of the condition/problem (active, resolved, inactive, ...)

ShortC.15.7 - Clinical status
Control0..1
Binding

HL7 Condtion-clinical

TypeCodeableConcept
16. EHDSCondition.resolutionCircumstances
Definition

Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). This field includes "free text" if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortC.15.8 - Resolution circumstances
Control0..*
TypeCodeableReference(Resource)
18. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortC.15.9 - Severity
Control0..1
Binding

HL7 Condtion-severity

TypeCodeableConcept
20. EHDSCondition.anatomicLocation
Definition

The anatomical location including laterality where this condition manifests itself.

ShortC.15.10 - Anatomic location
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
22. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortC.15.11 - Stage
Control0..*
Binding

e.g. TNM, ICD-O-3

TypeCodeableConcept
24. EHDSCondition.subject
Definition

Indicates the patient or group who the condition record is associated with.

ShortC.15.12 - Subject
Control1..1
TypeReference(Patient (model), Group (model))
26. EHDSCondition.participant
Definition

Who or what participated in the activities related to the condition and how they were involved.

ShortC.15.13 - Participant
Control0..*
TypeBase
28. EHDSCondition.participant.function
Definition

Type of participant involvement.

ShortC.15.13.1 - Function
Control0..1
Binding

To be specified

TypeCodeableConcept
30. EHDSCondition.participant.actor
Definition

Identify the Health Professional who may be specifically related to the condition, e.g., as a preferred contact.

ShortC.15.13.2 - Actor
Control1..1
TypeReference(Health professional)
32. EHDSCondition.externalResourceRelatedWith
Definition

Identify the External Resource which may be specifically relatedto the problem, for example a link between a rare disease problemand the corresponding guidelines.

ShortC.15.14 - External Resourcerelated with
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortC.15.15 - Diagnosis assertion status
Control0..1
Binding

HL7 Condition-ver-status

TypeCodeableConcept