Left: | AU Core Condition (http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition) |
Right: | AU Core Condition (http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition) |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org.au/fhir/StructureDefinition/au-condition | ||
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. | ||
description | This profile sets minimum expectations for a Condition resource to record, search, and fetch problems, diagnoses, and health concerns associated with a patient. It is based on the [AU Base Condition](http://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-condition.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the Condition resource when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#AU | ||
kind | resource | ||
name | AUCoreCondition | ||
publisher | HL7 Australia | ||
purpose | |||
status | active | ||
title | AU Core Condition | ||
type | Condition | ||
url | http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition |
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||||||
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Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context 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 | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context 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 | Σ | 0..1 | id | Logical id of this artifact | |||||||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | Σ | 0..* | Identifier | External Ids for this condition | |||||||||||||
clinicalStatus | ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis.
| ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis.
| |||||||||||||
verificationStatus | ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| |||||||||||||
category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition.
| SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition.
| |||||||||||||
severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: ?? (extensible)
| SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: ?? (extensible)
| |||||||||||||
code | SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (extensible)
| SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (extensible)
| |||||||||||||
bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (extensible) au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT | |||||||||||||
subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition?
| SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition?
| |||||||||||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | |||||||||||||
onset[x] | SOΣ | 0..1 | dateTime, Age, Period, Range | Estimated or actual date, date-time, or age
| SOΣ | 0..1 | dateTime, Age, Period, Range | Estimated or actual date, date-time, or age
| |||||||||||||
abatement[x] | SOC | 0..1 | dateTime, Age, Period, Range | When in resolution/remission
| SOC | 0..1 | dateTime, Age, Period, Range | When in resolution/remission
| |||||||||||||
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | Σ | 0..1 | dateTime | Date record was first recorded | |||||||||||||
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | 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 | 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 | 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 | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages). | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages). | |||||||||||||
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | |||||||||||||
type | 0..1 | CodeableConcept | Kind of staging Binding: ?? (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | 0..1 | CodeableConcept | Kind of staging Binding: ?? (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 | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | |||||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ?? (preferred) | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ?? (preferred) | |||||||||||||
detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | |||||||||||||
note | SO | 0..* | Annotation | Additional information about the Condition
| SO | 0..* | Annotation | Additional information about the Condition
| |||||||||||||
Documentation for this format |