eHealth Infrastructure (v2020.8)

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 Thu Jan 07 13:26:31 UTC 2021 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Conditions (required)
.... coding 0..*CodingCode defined by a terminology system
Binding: Conditions (required): Identification of the condition or diagnosis.

... subject 1..1Reference(eHealth Patient | Group) {r}Who has the condition?
... context 0..1Reference(Encounter | eHealth EpisodeOfCare) {r}Encounter or episode when condition first asserted
... asserter 0..1Reference(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..1Individual responsible for the annotation
..... authorReferenceReference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson)
..... authorStringstring

doco Documentation for this format

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes (example): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Conditions (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: Conditions (required): Identification of the condition or diagnosis.


.... text Σ0..1stringPlain text representation of the concept
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


... subject Σ1..1Reference(eHealth Patient | Group) {r}Who has the condition?
... context Σ0..1Reference(Encounter | eHealth EpisodeOfCare) {r}Encounter or episode when condition first asserted
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1If/when in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementBooleanboolean
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) {r}Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment I0..*Reference(eHealth ClinicalImpression | DiagnosticReport | eHealth Observation) {r}Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣI0..*Reference(Resource) {r}Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content

doco Documentation for this format

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Conditions (required)
.... coding 0..*CodingCode defined by a terminology system
Binding: Conditions (required): Identification of the condition or diagnosis.

... subject 1..1Reference(eHealth Patient | Group) {r}Who has the condition?
... context 0..1Reference(Encounter | eHealth EpisodeOfCare) {r}Encounter or episode when condition first asserted
... asserter 0..1Reference(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..1Individual responsible for the annotation
..... authorReferenceReference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson)
..... authorStringstring

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes (example): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Conditions (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: Conditions (required): Identification of the condition or diagnosis.


.... text Σ0..1stringPlain text representation of the concept
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


... subject Σ1..1Reference(eHealth Patient | Group) {r}Who has the condition?
... context Σ0..1Reference(Encounter | eHealth EpisodeOfCare) {r}Encounter or episode when condition first asserted
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1If/when in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementBooleanboolean
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson) {r}Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment I0..*Reference(eHealth ClinicalImpression | DiagnosticReport | eHealth Observation) {r}Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣI0..*Reference(Resource) {r}Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content

doco Documentation for this format

 

Terminology Bindings

PathConformanceValueSet
Condition.languageextensibleCommon Languages
Max Binding: All Languages
Condition.clinicalStatusrequiredCondition Clinical Status Codes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryexampleCondition Category Codes
Condition.severitypreferredCondition/Diagnosis Severity
Condition.coderequiredConditions
Condition.code.codingrequiredConditions
Condition.bodySiteexampleSNOMED CT Body Structures
Condition.stage.summaryexampleCondition Stage
Condition.evidence.codeexampleManifestation and Symptom Codes

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ConditionIf 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-3ConditionIf 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-4ConditionIf 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-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
: verificationStatus='entered-in-error' or clinicalStatus.exists()
ele-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
.