StructureDefinition: ehealth-condition

Introduction

A Condition is a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Formal Views of Profile Content

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-condition

This profile builds on Condition.

This profile was published on Tue Oct 27 14:11:48 UTC 2020 as a draft by ehealth.sundhed.dk.

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

This structure is derived from Condition

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

This structure is derived from Condition

Name	Card.	Type	Description & Constraints
Condition	0..*	Condition	Detailed information about conditions, problems or diagnoses
code	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Conditions (required)
coding	0..*	Coding	Code defined by a terminology system Binding: Conditions (required)
subject	1..1	Reference(eHealth Patient \| Group) {r }	Who has the condition?
context	0..1	Reference(Encounter \| eHealth EpisodeOfCare) {r }	Encounter or episode when condition first asserted
asserter	0..1	Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson) {r }	Person who asserts this condition
stage
assessment	0..*	Reference(eHealth ClinicalImpression \| DiagnosticReport \| eHealth Observation) {r }	Formal record of assessment
evidence
detail	0..*	Reference(Resource) {r }	Supporting information found elsewhere
note
author[x]	0..1		Individual responsible for the annotation
authorReference		Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson)
authorString		string
Documentation for this format

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	Condition	Detailed information about conditions, problems or diagnoses
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: Common Languages (extensible) Max Binding: All Languages
text		0..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	?!ΣI	0..1	code	active \| recurrence \| inactive \| remission \| resolved Binding: Condition Clinical Status Codes (required)
verificationStatus	?!ΣI	0..1	code	provisional \| differential \| confirmed \| refuted \| entered-in-error \| unknown Binding: ConditionVerificationStatus (required)
category		0..*	CodeableConcept	problem-list-item \| encounter-diagnosis Binding: Condition Category Codes (example)
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred)
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Conditions (required)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Conditions (required)
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMED CT Body Structures (example)
subject	Σ	1..1	Reference(eHealth Patient \| Group) {r }	Who has the condition?
context	Σ	0..1	Reference(Encounter \| eHealth EpisodeOfCare) {r }	Encounter or episode when condition first asserted
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson) {r }	Person who asserts this condition
stage	I	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example)
assessment	I	0..*	Reference(eHealth ClinicalImpression \| DiagnosticReport \| eHealth Observation) {r }	Formal record of assessment
evidence	I	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example)
detail	ΣI	0..*	Reference(Resource) {r }	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	xml:id (or equivalent in JSON)
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(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

This structure is derived from Condition

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Condition

Name	Card.	Type	Description & Constraints
Condition	0..*	Condition	Detailed information about conditions, problems or diagnoses
code	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Conditions (required)
coding	0..*	Coding	Code defined by a terminology system Binding: Conditions (required)
subject	1..1	Reference(eHealth Patient \| Group) {r }	Who has the condition?
context	0..1	Reference(Encounter \| eHealth EpisodeOfCare) {r }	Encounter or episode when condition first asserted
asserter	0..1	Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson) {r }	Person who asserts this condition
stage
assessment	0..*	Reference(eHealth ClinicalImpression \| DiagnosticReport \| eHealth Observation) {r }	Formal record of assessment
evidence
detail	0..*	Reference(Resource) {r }	Supporting information found elsewhere
note
author[x]	0..1		Individual responsible for the annotation
authorReference		Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson)
authorString		string
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	Condition	Detailed information about conditions, problems or diagnoses
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: Common Languages (extensible) Max Binding: All Languages
text		0..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	?!ΣI	0..1	code	active \| recurrence \| inactive \| remission \| resolved Binding: Condition Clinical Status Codes (required)
verificationStatus	?!ΣI	0..1	code	provisional \| differential \| confirmed \| refuted \| entered-in-error \| unknown Binding: ConditionVerificationStatus (required)
category		0..*	CodeableConcept	problem-list-item \| encounter-diagnosis Binding: Condition Category Codes (example)
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred)
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Conditions (required)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Conditions (required)
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMED CT Body Structures (example)
subject	Σ	1..1	Reference(eHealth Patient \| Group) {r }	Who has the condition?
context	Σ	0..1	Reference(Encounter \| eHealth EpisodeOfCare) {r }	Encounter or episode when condition first asserted
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson) {r }	Person who asserts this condition
stage	I	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example)
assessment	I	0..*	Reference(eHealth ClinicalImpression \| DiagnosticReport \| eHealth Observation) {r }	Formal record of assessment
evidence	I	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example)
detail	ΣI	0..*	Reference(Resource) {r }	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	xml:id (or equivalent in JSON)
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(eHealth Practitioner \| eHealth Patient \| eHealth RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	extensible	Common Languages Max Binding: All Languages
Condition.clinicalStatus	required	Condition Clinical Status Codes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	example	Condition Category Codes
Condition.severity	preferred	Condition/Diagnosis Severity
Condition.code	required	Conditions
Condition.code.coding	required	Conditions
Condition.bodySite	example	SNOMED CT Body Structures
Condition.stage.summary	example	Condition Stage
Condition.evidence.code	example	Manifestation and Symptom Codes

Constraints

Id	Path	Details	Requirements
dom-2	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-1	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-4	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-3	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
con-4	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
con-3	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
ele-1	Condition.stage	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())
con-1	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
ele-1	Condition.evidence	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())
con-2	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()