PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: Condition: GvHD

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-gvhd-eu-pcsp Version: 0.2.0
Draft as of 2024-09-11 Computable Name: ConditionGvhdPcsp

This profile defines how to represent Graft versus host disease (GvHD) in HL7 FHIR for the purpose of the PanCareSurPass project.

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition Condition
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..0
...... value[x]:valueReference 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite 0..* CodeableConcept Organs affected by GVHD
... encounter 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission
... stage
.... summary
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Closed by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

...... value[x]:valueReference 0..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 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.

... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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).

..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.extension:conditionDueTo.value[x]exampleConditionCauseCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/condition-cause
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.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Closed by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

...... value[x]:valueReference 0..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC 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: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) 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).

..... 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 SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)
..... text Σ 0..1 string Plain text representation of the concept
.... 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 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.extension:conditionDueTo.value[x]exampleConditionCauseCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/condition-cause
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.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG
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 Condition

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.extension.value[x]
  • The element 1 is sliced based on the value of Condition.stage.summary.coding

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition Condition
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..0
...... value[x]:valueReference 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite 0..* CodeableConcept Organs affected by GVHD
... encounter 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission
... stage
.... summary
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Closed by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

...... value[x]:valueReference 0..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 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.

... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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).

..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.extension:conditionDueTo.value[x]exampleConditionCauseCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/condition-cause
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.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... Slices for value[x] 1..1 Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Value of extension
Slice: Unordered, Closed by type:$this
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

...... value[x]:valueReference 0..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC 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: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) 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).

..... 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 SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)
..... text Σ 0..1 string Plain text representation of the concept
.... 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 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.extension:conditionDueTo.value[x]exampleConditionCauseCodes (a valid code from SNOMED CT)
http://hl7.org/fhir/ValueSet/condition-cause
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.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
from this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
from this IG
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 Condition

Summary

Mandatory: 3 elements(1 nested mandatory element)
Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.extension.value[x]
  • The element 1 is sliced based on the value of Condition.stage.summary.coding

 

Other representations of profile: CSV, Excel, Schematron