HL7 FHIR Implementation Guide: Transversal Clinical Core
1.0.1 - STU1
HL7 FHIR Implementation Guide: Transversal Clinical Core, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/core-clinical/ and changes regularly. See the Directory of published versions
Official URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-problem | Version: 1.0.1 | |||
Active as of 2021-01-10 | Maturity Level: 1 | Computable Name: BeProblem |
Belgian federal profile. Initially based on the functional description of the NIHDI. Defines a patient’s known problem, a diagnostic or antecedent that deserves attention.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | Detailed information about conditions, problems or diagnoses | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) |
identifier | S | 0..* | Identifier | External Ids for this condition |
clinicalStatus | S | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved |
verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) |
code | S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) |
bodySite | S | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) |
Slices for extension | Content/Rules for all slices | |||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
subject | S | 1..1 | Reference(BePatient) | Who has the condition? |
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of |
onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
abatement[x] | S | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission |
recordedDate | S | 1..1 | dateTime | Date record was first recorded |
recorder | S | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition |
asserter | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition | |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.category | extensible | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | |
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | |
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | External Ids for this condition |
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 | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) |
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) |
Slices for extension | Content/Rules for all slices | |||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
subject | SΣ | 1..1 | Reference(BePatient) | Who has the condition? |
encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of |
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
abatement[x] | SC | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded |
recorder | SΣ | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition |
asserter | Σ | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
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.category | extensible | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | |
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | |
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.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 or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | External Ids for this condition | ||||
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 | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) | ||||
severity | 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 | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) | ||||
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(BePatient) | Who has the condition? | ||||
encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | SC | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded | ||||
recorder | SΣ | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition | ||||
asserter | Σ | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition | ||||
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 | 0..* | Extension | Additional content defined by implementations | |||||
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 | ||||
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 | 0..* | Extension | Additional content defined by implementations | |||||
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 | ||||
note | S | 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 | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | ||||
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG | ||||
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 |
Id | Grade | Path(s) | Details | Requirements |
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 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.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 or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Condition
Summary
Mandatory: 4 elements
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | Detailed information about conditions, problems or diagnoses | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) |
identifier | S | 0..* | Identifier | External Ids for this condition |
clinicalStatus | S | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved |
verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) |
code | S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) |
bodySite | S | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) |
Slices for extension | Content/Rules for all slices | |||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
subject | S | 1..1 | Reference(BePatient) | Who has the condition? |
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of |
onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
abatement[x] | S | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission |
recordedDate | S | 1..1 | dateTime | Date record was first recorded |
recorder | S | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition |
asserter | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition | |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.category | extensible | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | |
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | |
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | SΣ | 0..* | Identifier | External Ids for this condition |
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 | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) |
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) |
Slices for extension | Content/Rules for all slices | |||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |
subject | SΣ | 1..1 | Reference(BePatient) | Who has the condition? |
encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of |
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
abatement[x] | SC | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded |
recorder | SΣ | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition |
asserter | Σ | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
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.category | extensible | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | |
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | |
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.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 or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ProblemOriginType | S | 0..1 | code | BeExtProblemOriginType URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-problem-origin-type Binding: Problem Origin Type (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | External Ids for this condition | ||||
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 | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Category (extensible) | ||||
severity | 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 | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Code (extensible) | ||||
bodySite | SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
laterality | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(BePatient) | Who has the condition? | ||||
encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | SC | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | SΣ | 1..1 | dateTime | Date record was first recorded | ||||
recorder | SΣ | 1..1 | Reference(BePractitioner | BePractitionerRole | BePatient) | Who recorded the condition | ||||
asserter | Σ | 0..1 | Reference(RelatedPerson | BePractitioner | BePractitionerRole | BePatient) | Person who asserts this condition | ||||
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 | 0..* | Extension | Additional content defined by implementations | |||||
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 | ||||
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 | 0..* | Extension | Additional content defined by implementations | |||||
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 | ||||
note | S | 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 | BeVSProblemCategory (a valid code from Problem Category)https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-category from this IG | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | BeVSProblemCodehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-problem-code from this IG | ||||
Condition.bodySite | required | BeVSBodySitehttps://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-bodysite from this IG | ||||
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 |
Id | Grade | Path(s) | Details | Requirements |
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 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.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 or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Condition
Summary
Mandatory: 4 elements
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron