Generated Narrative: StructureDefinition EHDSConditionLaboratoryObligations Language: en Name Flags Card. Type Description & Constraints EHDSCondition 0..* EHDSCondition Condition model #xD; header O 1..1 Base Basic metadata for this information Obligations Actor SHALL:able-to-populate Producer #xD; subject O 1..1 EHDSPatient Patient/subject information Obligations Actor SHALL:able-to-populate Producer SHALL:display Consumer SHALL:process Consumer #xD; identifier O 0..* Identifier Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries). Obligations Actor SHOULD:able-to-populate Producer #xD; status O 1..1 CodeableConcept Status of the condition/problem (e.g. active, resolved, inactive, etc) Obligations Actor SHALL:able-to-populate Producer SHOULD:display Consumer #xD; problem O 1..1 CodeableConcept Code identifying the condition, problem or diagnosis Obligations Actor SHALL:able-to-populate Producer #xD; bodySite O 0..* EHDSBodyStructure The anatomical location including laterality where this condition manifests itself. Obligations Actor SHOULD:able-to-populate Producer #xD; Documentation for this format
Condition laboratory specific obligations
Obligations for the logical model of condition in the scope of laboratory use case
Model for a clinical condition, problem, diagnosis, or other event, situation, or issue that has risen to a level of concern.
EHR systems SHALL provide information about the subject of care (patient).
EHR system SHALL render information about the subject of care in such a way that unambiguous assignment to the care subject is preserved.
Information about the subject of care SHALL be processed by the EHR system in such a way that the identity of the subject of care cannot be confused.
Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
The author of the condition information.
Date and optionally time of authoring/issuing
Status of the condition/problem (e.g. active, resolved, inactive, etc)
Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
Language in which the resource is written. Language is expressed by the IETF language tag.
Code identifying the condition, problem or diagnosis
ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed
The date or estimated date that the condition resolved or went into remission
Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
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).
A subjective assessment of the severity of the condition as evaluated by the clinician.
HL7 Condition/Diagnosis Severity; SNOMED CT
The anatomical location including laterality where this condition manifests itself.
Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Health Professional who may be specifically related to the problem, as a preferred contact.
External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.