XpanDH Hospital Discharge Report
0.1.0 - ci-build
150
XpanDH Hospital Discharge Report, published by XpanDH Project. 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/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-problems-hdr-xpandh | Version: 0.1.0 | |||
Active as of 2024-12-12 | Computable Name: ConditionProblemsHdrXpandh | |||
Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License |
Xpandh Condition Problems Profile is based upon the core FHIR Condition Resource and meets the Xpandh project requirements.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ConditionHdrXpandh
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient | |
Slices for category | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this | |
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||||
text | 1..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||
clinicalStatus | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children | ||||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children | ||||||
Slices for category | S | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred)
ele-1: All FHIR elements must have a @value or children | ||||||
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Binding: Problem Type - IPS (preferred)
ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | ||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||||
severity | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
ele-1: All FHIR elements must have a @value or children | ||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient
ele-1: All FHIR elements must have a @value or children | ||||||
bodySite | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children | |||||||
Slices for extension | Content/Rules for all slices | |||||||||
laterality | 0..1 | CodeableConcept | Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system ele-1: All FHIR elements must have a @value or children | ||||||
text | SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children | ||||||
subject | SΣ | 1..1 | Reference(Patient: HDR) | Who has the condition? ele-1: All FHIR elements must have a @value or children | ||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children | ||||||
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |||||||
onsetDateTime | dateTime | |||||||||
onset[x]:onsetDateTime | SΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | ||||||
Slices for abatement[x] | SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |||||||
abatementDateTime | dateTime | |||||||||
abatement[x]:abatementDateTime | C | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children | ||||||
recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | preferred | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.category:hdr-core | preferred | Pattern: problem-list-itemhttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | required | HdrConditionXpandhVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
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..* | ConditionHdrXpandh | Documentation of a health problem of the patient 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 | 1..1 | Narrative | Text summary of the resource, for human interpretation | |||||||
contained | 0..* | Resource | Contained, inline Resources | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||||
clinicalStatus | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) | ||||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) | ||||||
Slices for category | S | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred)
| ||||||
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Binding: Problem Type - IPS (preferred)
Required Pattern: At least the following | ||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||||
version | 0..1 | string | Version of the system - if relevant | |||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||||
display | 0..1 | string | Representation defined by the system | |||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||
text | 0..1 | string | Plain text representation of the concept | |||||||
severity | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
| ||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient
| ||||||
bodySite | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) | |||||||
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 | CodeableConcept | Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | |||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||
subject | SΣ | 1..1 | Reference(Patient: HDR) | Who has the condition? | ||||||
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 | SΣC | 1..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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||||
onsetDateTime | dateTime S | |||||||||
onsetAge | Age | |||||||||
onsetPeriod | Period | |||||||||
onsetRange | Range | |||||||||
onsetString | string | |||||||||
onset[x]:onsetDateTime | SΣ | 0..1 | dateTime S | Estimated or actual date, date-time, or age | ||||||
Slices for abatement[x] | SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||
abatementDateTime | dateTime S | |||||||||
abatementAge | Age | |||||||||
abatementPeriod | Period | |||||||||
abatementRange | Range | |||||||||
abatementString | string | |||||||||
abatement[x]:abatementDateTime | C | 0..1 | dateTime | When in resolution/remission | ||||||
recordedDate | SΣ | 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 | Most recent Stage Group Binding: Cancer Stage Grading: Snomed CT (required) | ||||||
assessment | C | 0..* | Reference(Observation: Cancer Stage Group) | Formal record of assessment | ||||||
type | 0..1 | CodeableConcept | Staging system used. 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 | |||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | preferred | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.category:hdr-core | preferred | Pattern: problem-list-itemhttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | required | HdrConditionXpandhVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stage-grading-vs from this IG | ||||
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 ConditionHdrXpandh
Summary
Mandatory: 2 elements
Must-Support: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ConditionHdrXpandh
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient | |
Slices for category | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this | |
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||||
text | 1..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||||
clinicalStatus | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children | ||||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children | ||||||
Slices for category | S | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred)
ele-1: All FHIR elements must have a @value or children | ||||||
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Binding: Problem Type - IPS (preferred)
ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | ||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||||
severity | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
ele-1: All FHIR elements must have a @value or children | ||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient
ele-1: All FHIR elements must have a @value or children | ||||||
bodySite | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children | |||||||
Slices for extension | Content/Rules for all slices | |||||||||
laterality | 0..1 | CodeableConcept | Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system ele-1: All FHIR elements must have a @value or children | ||||||
text | SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children | ||||||
subject | SΣ | 1..1 | Reference(Patient: HDR) | Who has the condition? ele-1: All FHIR elements must have a @value or children | ||||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children | ||||||
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |||||||
onsetDateTime | dateTime | |||||||||
onset[x]:onsetDateTime | SΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | ||||||
Slices for abatement[x] | SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |||||||
abatementDateTime | dateTime | |||||||||
abatement[x]:abatementDateTime | C | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children | ||||||
recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children | ||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | preferred | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.category:hdr-core | preferred | Pattern: problem-list-itemhttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | |
Condition.code | required | HdrConditionXpandhVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG | |
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($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..* | ConditionHdrXpandh | Documentation of a health problem of the patient 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 | 1..1 | Narrative | Text summary of the resource, for human interpretation | |||||||
contained | 0..* | Resource | Contained, inline Resources | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||||
clinicalStatus | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) | ||||||
verificationStatus | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) | ||||||
Slices for category | S | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred)
| ||||||
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item Binding: Problem Type - IPS (preferred)
Required Pattern: At least the following | ||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||||
extension | 0..* | Extension | Additional content defined by implementations | |||||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||||
version | 0..1 | string | Version of the system - if relevant | |||||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||||
display | 0..1 | string | Representation defined by the system | |||||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||||
text | 0..1 | string | Plain text representation of the concept | |||||||
severity | S | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
| ||||||
code | S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient
| ||||||
bodySite | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) | |||||||
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 | CodeableConcept | Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | |||||||
coding | S | 0..* | CodingIPS | A reference to a code defined by a terminology system | ||||||
text | SΣ | 0..1 | string | Plain text representation of the concept | ||||||
subject | SΣ | 1..1 | Reference(Patient: HDR) | Who has the condition? | ||||||
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 | SΣC | 1..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 | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
Slices for onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||||
onsetDateTime | dateTime S | |||||||||
onsetAge | Age | |||||||||
onsetPeriod | Period | |||||||||
onsetRange | Range | |||||||||
onsetString | string | |||||||||
onset[x]:onsetDateTime | SΣ | 0..1 | dateTime S | Estimated or actual date, date-time, or age | ||||||
Slices for abatement[x] | SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||
abatementDateTime | dateTime S | |||||||||
abatementAge | Age | |||||||||
abatementPeriod | Period | |||||||||
abatementRange | Range | |||||||||
abatementString | string | |||||||||
abatement[x]:abatementDateTime | C | 0..1 | dateTime | When in resolution/remission | ||||||
recordedDate | SΣ | 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 | Most recent Stage Group Binding: Cancer Stage Grading: Snomed CT (required) | ||||||
assessment | C | 0..* | Reference(Observation: Cancer Stage Group) | Formal record of assessment | ||||||
type | 0..1 | CodeableConcept | Staging system used. 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 | |||||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | preferred | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.category:hdr-core | preferred | Pattern: problem-list-itemhttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | required | HdrConditionXpandhVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stage-grading-vs from this IG | ||||
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 ConditionHdrXpandh
Summary
Mandatory: 2 elements
Must-Support: 1 element
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron