Scope and usage

This profile is intended to encapsulate information about condition, also referred to as diagnosis, that is relevant to share in a ConditionList. The profile inherits from DkCoreCondition and introduces some further constraints.

Condition codes

The codes for the condition are provided to the ConditionList by the general practitioner (GP) who reconciled the diagnoses with the subject, also referred to as patient. The condition codes from the GP’s system will most often include a SKS-D-code, ICPC2-code and a text describing the condition (Danish: Diagnosetekst). However, it is not always the case that both codes and the text is available, why the requirements in the profile are fairly loose.

The SKS-D-code and ICPC2-code must be included in the respective slice at Condition.code.coding, so they can be interpreted correct based on the Condition.code.system. It is allowed to include the display-value for the codes. The text selected by the GP must always be added in the element Condition.code.text.

The quality of the registered diagnose is not always as expected with two codes and a text. However, from the project it is decided to exchange the available information despite the incompleteness. To accommodate this, the following must be followed:

• If only one SKS-D or ICPC2 code and a text is available, this information must be included in the respective elements
• If no code, but a text is available, the text must be included in the text element
• If one or both SKS-D or ICPC2 codes are available, but no text is available, the codes must be included in the respective elements
• If neither code nor text is available, a Condition instance must still be created with the remaining information
• If a code from another CodeSystem than SKS-D or ICPC2 is available, this code must be included in a new slice with a suited system, code and if available a display name.

The above cases are illustrated on the example page.

Description of the condition

As mentioned the GP has in most cases selected a text that represents the diagnosis the best (Danish: Diagnosetekst). This text must be included in the element Condition.code.text. It is further allowed for the GP to add an additional, short description of the diagnosis (Danish: Tillægstekst). If this is available, the text must be included in the element Condition.note.text.

Condition status and category

Both the status and category are selected by the GP. If the status is available, the Condition must contain information in the element Condition.clinicalStatus. This status can either be ‘active’ (Danish: aktuel), which represents conditions that the patient is currently experiencing, or ‘inactive’ (Danish: relevant), which represents condition that the patient no longer receives treatment for.

If the category is available, the Condition must contain information in the element Condition.category, representing the type of diagnoses. The category can either be a ‘problem-list-item’ (Danish: forløbsdiagnose), which represents a condition that is managed over time, or a ‘encounter-diagnosis’ (Danish: kontaktdiagnose), which represents a diagnose that has been subject during an encounter.

Timestamps

There can be different timestamp associated with a diagnosis. They must be included when the information is available:

• Condition.recordedDate: The date of the individual diagnosis entry in the database (Danish: registreringsdato).
• Condition.onsetDateTime: Actual or estimated date the condition began, in the opinion of the patient’s GP (Danish: debutdato).
• Condition.abatementDateTime: The date or estimated date that the condition resolved or went into remission (Danish: afslutningsdato).

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from DkCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition			DkCoreCondition
clinicalStatus	SC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
category	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item'
code
Slices for coding				Content/Rules for all slices
coding:SKS-D		0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system	S	1..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:ICPC2code		0..1	Coding	ICPC2 code
system	S	1..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
subject	S	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime	S	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]		0..1	dateTime, Age, Period, Range, string	When in resolution/remission Slice: Unordered, Open by type:$this
abatement[x]:abatementDateTime	S	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	S	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
note	S	0..1	Annotation	Additional information about the Condition
text	S	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DkCoreCondition	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				Content/Rules for all slices
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
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	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item' Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: Condition/Problem/DiagnosisCodes (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	SC	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	SΣ	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
note	S	0..1	Annotation	Additional information about the Condition
text	SΣ	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DkCoreCondition	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. Additional Bindings Purpose AllLanguages Max Binding
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
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
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	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item' 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	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: Condition/Problem/DiagnosisCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	SC	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	SΣ	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
recorder	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile)	Who recorded the condition
asserter	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	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..1	Annotation	Additional information about 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
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

Differential View

This structure is derived from DkCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition			DkCoreCondition
clinicalStatus	SC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
category	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item'
code
Slices for coding				Content/Rules for all slices
coding:SKS-D		0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system	S	1..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:ICPC2code		0..1	Coding	ICPC2 code
system	S	1..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
subject	S	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime	S	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]		0..1	dateTime, Age, Period, Range, string	When in resolution/remission Slice: Unordered, Open by type:$this
abatement[x]:abatementDateTime	S	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	S	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
note	S	0..1	Annotation	Additional information about the Condition
text	S	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DkCoreCondition	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				Content/Rules for all slices
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
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	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item' Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: Condition/Problem/DiagnosisCodes (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	SC	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	SΣ	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
note	S	0..1	Annotation	Additional information about the Condition
text	SΣ	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DkCoreCondition	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. Additional Bindings Purpose AllLanguages Max Binding
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
dueTo		0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	The clinical status for this diagnoses (Danish: Diagnosestatus). 'Aktuel' = 'active', 'Relevant' = 'inactive' Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. medcom-conditionList-2: ClinicalStatus must be 'active' or 'inactive'
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	S	0..1	CodeableConcept	Type of the diagnose (Danish: Diagnosetype). 'Kontaktdiagnose' = 'encounter-diagnosis', 'Forløbsdiagnose' = 'problem-list-item' 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	Σ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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	Σ	0..*	Coding	Condition code, [DA] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DA] FSIII tilstandskode
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SCTConditionCode	Σ	0..1	Coding	SNOMED CT condition code Binding: Condition/Problem/DiagnosisCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:FFBConditionCode	Σ	0..1	Coding	[DA] FFB undertemakode
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SKS-D	Σ	0..1	Coding	[DA] Kode fra D-hierarkiet i SKS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICPC2code	Σ	0..1	Coding	ICPC2 code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.31
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	The condition text selected by the recorder (Danish: Diagnosetekst).
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Date of the diagnosed onset of the condition (Danish: Debutdato)
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	SC	0..1	dateTime	Date of the abate end of the condition (Danish: Afslutningsdato)
recordedDate	SΣ	1..1	dateTime	Date of registration of the diagnosis in the general practitioner's own system (Danish: Registreringsdato)
recorder	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile)	Who recorded the condition
asserter	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	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..1	Annotation	Additional information about 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
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	Additional description for the condition (Danish: Tillægstekst)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-conditionList-2	error	Condition.clinicalStatus	ClinicalStatus must be 'active' or 'inactive' : coding.code = 'active' or 'inactive'

This structure is derived from DkCoreCondition

Summary

Mandatory: 1 element
Must-Support: 15 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.onset[x]
• The element 1 is sliced based on the value of Condition.abatement[x]