{
  "description": "This profile represents the constraints applied to the Condition resource by the CA Core+ project to represent the minimum expectations for the Condition resource when used to promote capacity building for functionality found across Canadian FHIR implementations. It is informed by the constraints of shared across CIHI pCHDCF data sets and has also undergone analysis to assert alignment with the [Canadian Baseline Condition Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-condition.html)",
  "_filename": "structuredefinition-condition-ca-core.json",
  "package_name": "ca.infoway.io.core",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ConditionCACore",
  "mapping": [ {
    "name": "Pan-Canadian Health Data Content Framework",
    "identity": "pCHDCF"
  } ],
  "abstract": false,
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "type": "Condition",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Condition (CA-Core)",
  "package_version": "0.2.0-dft",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition"
  } ],
  "status": "draft",
  "id": "087c8b13-1887-4c04-b74c-c3f8a96cdcc8",
  "kind": "resource",
  "url": "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/condition-ca-core",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Condition.extension:assertedDate",
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ]
      } ],
      "short": "Date the condition was first asserted",
      "comment": "At the time this profile is released, the assertedDate extension is undergoing review by the Patient Care Working Group at HL7 International. Receiving systems are expected not to error if this information is received. This specification will further evaluate additional server expectations on assertedDate following resolution.",
      "mapping": [ {
        "map": "Health Concern Date of Diagnosis*",
        "comment": "*There is no single element in Condition that is used to unequivocally capture the date of diagnosis. Based on findings expressed in US Core 6.1.0 Condition profiles, existing systems may capture this concept in the assertedDate Extension, Condition.recordedDate, or Condition.onsetDateTime. This may be impacted by the workflow associated with the recording of the diagnosis (i.e., if the diagnosis is made in an encounter that the condition was captured during or had been asserted previously). At the time this profile is released, the assertedDate extension is undergoing review by the Patient Care Working Group at HL7 International. This specification will further evaluate further server expectations on assertedDate following resolution.",
        "identity": "pCHDCF"
      } ],
      "sliceName": "assertedDate"
    }, {
      "id": "Condition.clinicalStatus",
      "path": "Condition.clinicalStatus",
      "mapping": [ {
        "map": "Health Concern Clinical Status",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.verificationStatus",
      "path": "Condition.verificationStatus",
      "mapping": [ {
        "map": "Health Concern Verification Status",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.category",
      "path": "Condition.category",
      "mapping": [ {
        "map": "Health Concern Category",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.severity",
      "path": "Condition.severity",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/severitycode"
      },
      "mapping": [ {
        "map": "Health Concern Severity",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.code",
      "path": "Condition.code",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/PHCVScode",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ValueSet/ICD9CM"
          }, {
            "url": "documentation",
            "valueMarkdown": "Per pCHDCF: ICD is recommended as an alternate value set to support physician billing in Canada and as a classification for reporting and analysis. ICD-10-CA is the recommended supporting classification. ICD-9-CM currently supports historical implementations for physician billing and is not recommended for new implementers as it is no longer maintained."
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ValueSet/ICD10CA"
          }, {
            "url": "documentation",
            "valueMarkdown": "Per pCHDCF: ICD is recommended as an alternate value set to support physician billing in Canada and as a classification for reporting and analysis. ICD-10-CA is the recommended supporting classification. ICD-9-CM currently supports historical implementations for physician billing and is not recommended for new implementers as it is no longer maintained."
          } ]
        } ],
        "description": "Stub ValueSet for Pan-Canadian Health Concern ValueSet"
      },
      "comment": "The additionalBinding extension will be used to express the valueSet for additional negation/exclusion codes for reporting the known absence of conditions. At the time of this release, the publisher of the current ValueSet for absence codes (IPS) is developing a SNOMED ValueSet that will replace the current http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips",
      "mapping": [ {
        "map": "Health Concern(s)",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.bodySite",
      "path": "Condition.bodySite",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode"
      },
      "mapping": [ {
        "map": "Health Concern Body Site",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/patient-ca-core" ]
      } ]
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "mapping": [ {
        "map": "Health Concern Date of Onset*",
        "comment": "*pCHDCF concept as currently defined is expected to map to the DateTime data type",
        "identity": "pCHDCF"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mapping": [ {
        "map": "Health Concern Date of Onset",
        "identity": "pCHDCF"
      } ],
      "sliceName": "onsetDateTime"
    }, {
      "id": "Condition.abatement[x]",
      "path": "Condition.abatement[x]",
      "mapping": [ {
        "map": "Health Concern Date of Resolution*",
        "comment": "*pCHDCF concept as currently defined is expected to map to the DateTime data type",
        "identity": "pCHDCF"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.abatement[x]:abatementDateTime",
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mapping": [ {
        "map": "Health Concern Date of Resolution",
        "identity": "pCHDCF"
      } ],
      "sliceName": "abatementDateTime"
    }, {
      "id": "Condition.recordedDate",
      "path": "Condition.recordedDate",
      "mapping": [ {
        "map": "Health Concern Date of Diagnosis*",
        "comment": "*There is no single element in Condition that is used to unequivocally capture the date of diagnosis. Based on findings expressed in US Core 6.1.0 Condition profiles, existing systems may capture this concept in the assertedDate Extension, Condition.recordedDate, or Condition.onsetDateTime. This may be impacted by the workflow associated with the recording of the diagnosis (i.e., if the diagnosis is made in an encounter that the condition was captured during or had been asserted previously). At the time this profile is released, the assertedDate extension is undergoing review by the Patient Care Working Group at HL7 International. This specification will further evaluate further server expectations on assertedDate following resolution.",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.recorder",
      "path": "Condition.recorder",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/practitioner-ca-core", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/practitionerRole-ca-core", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/patient-ca-core", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
      } ],
      "mapping": [ {
        "map": "Health Concern Reporting Source*",
        "comment": "*The full meaning of this concept might convey the individual/organization that recorded the information or the codeableConcept that categorizes the individual. In R4 the expression is limited to a Reference data type. Implementers should be aware that later versions of FHIR may make CodeableReference datatype available for conveying the codeableConcept associated with this element.",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.evidence",
      "path": "Condition.evidence"
    }, {
      "id": "Condition.evidence.code",
      "path": "Condition.evidence.code",
      "mapping": [ {
        "map": "Health Concern Evidence Code",
        "identity": "pCHDCF"
      } ]
    }, {
      "id": "Condition.evidence.detail",
      "path": "Condition.evidence.detail",
      "mapping": [ {
        "map": "Health Concern Supporting Documents",
        "identity": "pCHDCF"
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}