Generated Narrative: StructureDefinition EHDSCondition Language: en Name Flags Card. Type Description & Constraints EHDSCondition 0..* EHDSDataSet Condition model Elements defined in Ancestors:header, presentedForm Instances of this logical model can be the target of a Reference #xD; problem 1..1 CodeableConcept Code identifying the condition, problem or diagnosis Binding Description: (preferred): ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed #xD; onsetDate 0..1 dateTime Onset date of a problem/condition #xD; endDate 0..1 dateTime The date or estimated date that the condition resolved or went into remission #xD; category 0..* CodeableConcept Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations). #xD; problemStatus 0..1 CodeableConcept Status of the condition/problem (active, resolved, inactive, ...) Binding Description: (preferred): HL7 Condition Clinical Status Codes #xD; resolutionCircumstances 0..* string Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). #xD; severity 0..1 CodeableConcept A subjective assessment of the severity of the condition as evaluated by the clinician. Binding Description: (preferred): HL7 Condition/Diagnosis Severity; SNOMED CT #xD; anatomicLocation 0..* EHDSBodyStructure The anatomical location including laterality where this condition manifests itself. #xD; stage 0..* CodeableConcept Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used. Binding Description: (preferred): e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, … #xD; diagnosisAssertionStatus 0..1 CodeableConcept Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition. Binding Description: (preferred): HL7 Condition Verification Status #xD; asserter 0..1 EHDSHealthProfessional The asserter of the condition #xD; assertedDate 0..1 dateTime Date and time of the diagnosis assertion #xD; specialistContact 0..* EHDSHealthProfessional Health Professional who may be specifically related to the problem, as a preferred contact. #xD; externalResource 0..* uri External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines. #xD; Documentation for this format
EHDS refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
Common header for all patient-related data
Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Date and time of the issuing the document/resource by its author.
Date and time of the last update to the resource
Date and time of the last update to the document/information
Reason for the current status of the resource.
Language in which the resource is written. Language is expressed by the IETF language tag.
A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Code identifying the condition, problem or diagnosis
ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed
The date or estimated date that the condition resolved or went into remission
Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
Status of the condition/problem (active, resolved, inactive, ...)
Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).
A subjective assessment of the severity of the condition as evaluated by the clinician.
HL7 Condition/Diagnosis Severity; SNOMED CT
The anatomical location including laterality where this condition manifests itself.
Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Date and time of the diagnosis assertion
Health Professional who may be specifically related to the problem, as a preferred contact.
External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.