{
"description": "This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.",
"_filename": "StructureDefinition-condition-uv-ips.json",
"package_name": "hl7.fhir.uv.ips",
"date": "2018-03-20",
"derivation": "constraint",
"meta": {
"lastUpdated": "2018-02-27T15:32:05.203+01:00"
},
"publisher": "HL7 International",
"fhirVersion": "3.5.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "Representation of a problem in the international patient summary",
"name": "Condition-uv-ips",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding",
"identity": "sct-concept"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern",
"identity": "w5"
}, {
"uri": "http://snomed.info/sct",
"name": "SNOMED CT Attribute Binding",
"identity": "sct-attr"
} ],
"abstract": false,
"type": "Condition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Condition",
"package_version": "0.2.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.div.exists()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "con-5",
"human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",
"source": "Condition",
"severity": "error",
"expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()"
}, {
"key": "con-4",
"human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",
"source": "Condition",
"severity": "error",
"expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()"
}, {
"key": "con-3",
"human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error",
"xpath": "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)",
"source": "Condition",
"severity": "error",
"expression": "verificationStatus='entered-in-error' or clinicalStatus.exists()"
} ],
"path": "Condition",
"min": 0,
"definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
"isModifier": false,
"short": "Documentation of a health problem of the patient",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)",
"identity": "sct-concept"
}, {
"map": "PPR message",
"identity": "v2"
}, {
"map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value,
"identity": "rim"
} ],
"max": "*",
"id": "Condition",
"base": {
"max": "*",
"min": 0,
"path": "Condition"
},
"isSummary": false
}, {
"path": "Condition.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "Condition.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "Condition.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Condition.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "Condition.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Condition.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
}, {
"path": "Condition.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language."
},
"max": "1",
"id": "Condition.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"path": "Condition.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Condition.text",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Condition.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Condition.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"path": "Condition.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "Condition.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"path": "Condition.identifier",
"requirements": "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "External Ids for this condition",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": ".id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "Condition.identifier",
"comment": "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"base": {
"max": "*",
"min": 0,
"path": "Condition.identifier"
},
"isSummary": true
}, {
"path": "Condition.clinicalStatus",
"min": 1,
"definition": "The clinical status of the condition.",
"isModifier": true,
"short": "active | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "< 303105007 |Disease phases|",
"identity": "sct-concept"
}, {
"map": "PRB-14",
"identity": "v2"
}, {
"map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionClinicalStatus"
} ],
"description": "The clinical status of the condition or diagnosis."
},
"max": "1",
"id": "Condition.clinicalStatus",
"condition": [ "con-3", "con-4", "con-5" ],
"comment": "It is possible that the well-controlled or poorly-controlled clinical status could alternatively be conveyed via a pre-coordinated Condition.code.",
"base": {
"max": "1",
"min": 0,
"path": "Condition.clinicalStatus"
},
"isModifierReason": "This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.",
"isSummary": true
}, {
"path": "Condition.verificationStatus",
"min": 1,
"definition": "The verification status to support the clinical status of the condition.",
"isModifier": true,
"short": "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "< 410514004 |Finding context value|",
"identity": "sct-concept"
}, {
"map": "PRB-13",
"identity": "v2"
}, {
"map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value",
"identity": "rim"
}, {
"map": "408729009",
"identity": "sct-attr"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionVerificationStatus"
} ],
"description": "The verification status to support or decline the clinical status of the condition or diagnosis."
},
"max": "1",
"id": "Condition.verificationStatus",
"condition": [ "con-3", "con-5" ],
"comment": "This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
"base": {
"max": "1",
"min": 0,
"path": "Condition.verificationStatus"
},
"isModifierReason": "This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
"isSummary": true
}, {
"path": "Condition.category",
"min": 0,
"definition": "A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'.\r\n",
"isModifier": false,
"short": "problem-list-item | encounter-diagnosis",
"mapping": [ {
"map": "FiveWs.class",
"identity": "w5"
}, {
"map": "< 404684003 |Clinical finding|",
"identity": "sct-concept"
}, {
"map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message",
"identity": "v2"
}, {
"map": ".code",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionCategory"
} ]
},
"max": "1",
"id": "Condition.category",
"comment": "In this profile, Condition represents a health problem of the patient. Therefore the code is fixed to the value problem-list-item.",
"base": {
"max": "*",
"min": 0,
"path": "Condition.category"
},
"isSummary": false
}, {
"path": "Condition.severity",
"min": 0,
"definition": "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"isModifier": false,
"short": "Subjective severity of condition",
"mapping": [ {
"map": "FiveWs.grade",
"identity": "w5"
}, {
"map": "< 272141005 |Severities|",
"identity": "sct-concept"
}, {
"map": "PRB-26 / ABS-3",
"identity": "v2"
}, {
"map": "Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value",
"identity": "rim"
}, {
"map": "246112005",
"identity": "sct-attr"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ],
"mustSupport": true,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/condition-severity-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionSeverity"
} ]
},
"max": "1",
"id": "Condition.severity",
"comment": "Coding of the severity with a terminology is preferred, where possible.",
"base": {
"max": "1",
"min": 0,
"path": "Condition.severity"
},
"isSummary": false
}, {
"path": "Condition.code",
"requirements": "0..1 to account for primarily narrative only resources.",
"min": 1,
"definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".",
"isModifier": false,
"short": "Identification of the condition, problem or diagnosis",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "FiveWs.what[x]",
"identity": "w5"
}, {
"map": "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|",
"identity": "sct-concept"
}, {
"map": "PRB-3",
"identity": "v2"
}, {
"map": ".value",
"identity": "rim"
}, {
"map": "246090004",
"identity": "sct-attr"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionKind"
} ],
"description": "Identification of the condition or diagnosis."
},
"alias": [ "type" ],
"max": "1",
"id": "Condition.code",
"base": {
"max": "1",
"min": 0,
"path": "Condition.code"
},
"isSummary": true
}, {
"path": "Condition.code.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Condition.code.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Condition.code.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.code.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Condition.code.coding",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 1,
"definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".",
"isModifier": false,
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "binding.valueSet",
"type": "value"
} ]
},
"type": [ {
"code": "Coding"
} ],
"mustSupport": true,
"max": "*",
"id": "Condition.code.coding",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "Condition.code.coding",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 1,
"definition": "Code representing the statement \"absent problem\" or the statement \"problems unknown\"",
"isModifier": false,
"short": "Code for absent problem or for unknown problem",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ]
} ],
"sliceName": "absentOrUnknownProblem",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionKind"
} ],
"description": "Absent problem or unknown problem"
},
"max": "1",
"id": "Condition.code.coding:absentOrUnknownProblem",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "Condition.code.coding",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"isModifier": false,
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ]
} ],
"sliceName": "@default",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/core-problem-list-disorders-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionKind"
} ],
"description": "Identification of the problem"
},
"max": "1",
"id": "Condition.code.coding:@default",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "Condition.code.text",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"isModifier": false,
"short": "Plain text representation of the concept",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Condition.code.text",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "Condition.bodySite",
"min": 0,
"definition": "The anatomical location where this condition manifests itself.",
"isModifier": false,
"short": "Anatomical location, if relevant",
"mapping": [ {
"map": "< 442083009 |Anatomical or acquired body structure|",
"identity": "sct-concept"
}, {
"map": ".targetBodySiteCode",
"identity": "rim"
}, {
"map": "363698007",
"identity": "sct-attr"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "Codes describing anatomical locations. May include laterality."
},
"max": "*",
"id": "Condition.bodySite",
"comment": "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"base": {
"max": "*",
"min": 0,
"path": "Condition.bodySite"
},
"isSummary": true
}, {
"path": "Condition.subject",
"requirements": "Group is typically used for veterinary or public health use cases.",
"min": 1,
"definition": "Indicates the patient or group who the condition record is associated with.",
"isModifier": false,
"short": "Who has the condition?",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject[x]",
"identity": "w5"
}, {
"map": "PID-3",
"identity": "v2"
}, {
"map": ".participation[typeCode=SBJ].role[classCode=PAT]",
"identity": "rim"
}, {
"map": "FiveWs.subject",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
} ],
"mustSupport": true,
"alias": [ "patient" ],
"max": "1",
"id": "Condition.subject",
"base": {
"max": "1",
"min": 1,
"path": "Condition.subject"
},
"isSummary": true
}, {
"path": "Condition.subject.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Condition.subject.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Condition.subject.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.subject.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Condition.subject.reference",
"min": 0,
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"isModifier": false,
"short": "Literal reference, Relative, internal or absolute URL",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Condition.subject.reference",
"condition": [ "ref-1" ],
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.reference"
},
"isSummary": true
}, {
"path": "Condition.subject.type",
"min": 0,
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"isModifier": false,
"short": "Type the reference refers to (e.g. \"Patient\")",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
} ],
"description": "Aa resource (or, for logical models, the URI of the logical model)."
},
"max": "1",
"id": "Condition.subject.type",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.type"
},
"isSummary": true
}, {
"path": "Condition.subject.identifier",
"min": 0,
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"isModifier": false,
"short": "Logical reference, when literal reference is not known",
"mapping": [ {
"map": ".identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "0",
"id": "Condition.subject.identifier",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"base": {
"max": "1",
"min": 0,
"path": "Reference.identifier"
},
"isSummary": true
}, {
"path": "Condition.subject.display",
"min": 0,
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"isModifier": false,
"short": "Text alternative for the resource",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Condition.subject.display",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.display"
},
"isSummary": true
}, {
"path": "Condition.context",
"min": 0,
"definition": "Encounter during which the condition was first asserted.",
"isModifier": false,
"short": "Encounter or episode when condition first asserted",
"mapping": [ {
"map": "Event.context",
"identity": "workflow"
}, {
"map": "FiveWs.context",
"identity": "w5"
}, {
"map": "PV1-19 (+PV1-54)",
"identity": "v2"
}, {
"map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ]
} ],
"alias": [ "encounter" ],
"max": "1",
"id": "Condition.context",
"comment": "This record indicates the encounter this particular record is associated with. In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".",
"base": {
"max": "1",
"min": 0,
"path": "Condition.context"
},
"isSummary": true
}, {
"path": "Condition.onsetDateTime",
"min": 1,
"definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.",
"isModifier": false,
"short": "Estimated or actual date, date-time, or age",
"mapping": [ {
"map": "Event.occurrence[x]",
"identity": "workflow"
}, {
"map": "FiveWs.init",
"identity": "w5"
}, {
"map": "PRB-16",
"identity": "v2"
}, {
"map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"sliceName": "onsetDateTime",
"max": "1",
"id": "Condition.onsetDateTime:onsetDateTime",
"comment": "Age is generally used when the patient reports an age at which the Condition began to occur.",
"base": {
"max": "1",
"min": 0,
"path": "Condition.onset[x]"
},
"isSummary": true
}, {
"path": "Condition.abatement[x]",
"min": 0,
"definition": "The date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.",
"isModifier": false,
"short": "When in resolution/remission",
"mapping": [ {
"map": "FiveWs.done[x]",
"identity": "w5"
}, {
"map": ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
}, {
"code": "Age"
}, {
"code": "Period"
}, {
"code": "Range"
}, {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "Condition.abatement[x]",
"condition": [ "con-4" ],
"comment": "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.",
"base": {
"max": "1",
"min": 0,
"path": "Condition.abatement[x]"
},
"isSummary": false
}, {
"path": "Condition.recordedDate",
"min": 0,
"definition": "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.",
"isModifier": false,
"short": "Date record was first recorded",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
}, {
"map": "REL-11",
"identity": "v2"
}, {
"map": ".participation[typeCode=AUT].time",
"identity": "rim"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Condition.recordedDate",
"base": {
"max": "1",
"min": 0,
"path": "Condition.recordedDate"
},
"isSummary": true
}, {
"path": "Condition.recorder",
"min": 0,
"definition": "Individual who recorded the record and takes responsibility for its content.",
"isModifier": false,
"short": "Who recorded the condition",
"mapping": [ {
"map": "FiveWs.author",
"identity": "w5"
}, {
"map": ".participation[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
} ],
"max": "1",
"id": "Condition.recorder",
"base": {
"max": "1",
"min": 0,
"path": "Condition.recorder"
},
"isSummary": true
}, {
"path": "Condition.asserter",
"min": 0,
"definition": "Individual who is making the condition statement.\r\nInformation source.",
"isModifier": false,
"short": "Person who asserts this condition",
"mapping": [ {
"map": "FiveWs.source",
"identity": "w5"
}, {
"map": "REL-7.1 identifier + REL-7.12 type code",
"identity": "v2"
}, {
"map": ".participation[typeCode=INF].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
} ],
"max": "1",
"id": "Condition.asserter",
"base": {
"max": "1",
"min": 0,
"path": "Condition.asserter"
},
"isSummary": true
}, {
"path": "Condition.asserter.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Condition.asserter.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Condition.asserter.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.asserter.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Condition.asserter.reference",
"min": 0,
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"isModifier": false,
"short": "Literal reference, Relative, internal or absolute URL",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Condition.asserter.reference",
"condition": [ "ref-1" ],
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.reference"
},
"isSummary": true
}, {
"path": "Condition.asserter.type",
"min": 0,
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"isModifier": false,
"short": "Type the reference refers to (e.g. \"Patient\")",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
} ],
"description": "Aa resource (or, for logical models, the URI of the logical model)."
},
"max": "1",
"id": "Condition.asserter.type",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.type"
},
"isSummary": true
}, {
"path": "Condition.asserter.identifier",
"min": 0,
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"isModifier": false,
"short": "Logical reference, when literal reference is not known",
"mapping": [ {
"map": ".identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "0",
"id": "Condition.asserter.identifier",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"base": {
"max": "1",
"min": 0,
"path": "Reference.identifier"
},
"isSummary": true
}, {
"path": "Condition.asserter.display",
"min": 0,
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"isModifier": false,
"short": "Text alternative for the resource",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Condition.asserter.display",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.display"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "con-1",
"human": "Stage SHALL have summary or assessment",
"xpath": "exists(f:summary) or exists(f:assessment)",
"severity": "error",
"expression": "summary.exists() or assessment.exists()"
} ],
"path": "Condition.stage",
"min": 0,
"definition": "Clinical stage or grade of a condition. May include formal severity assessments.",
"isModifier": false,
"short": "Stage/grade, usually assessed formally",
"mapping": [ {
"map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Condition.stage",
"base": {
"max": "*",
"min": 0,
"path": "Condition.stage"
},
"isSummary": false
}, {
"path": "Condition.stage.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Condition.stage.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Condition.stage.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.stage.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Condition.stage.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Condition.stage.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Condition.stage.summary",
"min": 0,
"definition": "A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.",
"isModifier": false,
"short": "Simple summary (disease specific)",
"mapping": [ {
"map": "< 254291000 |Staging and scales|",
"identity": "sct-concept"
}, {
"map": "PRB-14",
"identity": "v2"
}, {
"map": ".value",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-stage",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionStage"
} ],
"description": "Codes describing condition stages (e.g. Cancer stages)."
},
"max": "1",
"id": "Condition.stage.summary",
"condition": [ "con-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Condition.stage.summary"
},
"isSummary": false
}, {
"path": "Condition.stage.assessment",
"min": 0,
"definition": "Reference to a formal record of the evidence on which the staging assessment is based.",
"isModifier": false,
"short": "Formal record of assessment",
"mapping": [ {
"map": ".self",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/Observation" ]
} ],
"max": "*",
"id": "Condition.stage.assessment",
"condition": [ "con-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Condition.stage.assessment"
},
"isSummary": false
}, {
"path": "Condition.stage.type",
"min": 0,
"definition": "The kind of staging, such as pathological or clinical staging.",
"isModifier": false,
"short": "Kind of staging",
"mapping": [ {
"map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-stage-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionStageType"
} ],
"description": "Codes describing the kind of condition staging (e.g. clinical or pathological)."
},
"max": "1",
"id": "Condition.stage.type",
"base": {
"max": "1",
"min": 0,
"path": "Condition.stage.type"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "con-2",
"human": "evidence SHALL have code or details",
"xpath": "exists(f:code) or exists(f:detail)",
"severity": "error",
"expression": "code.exists() or detail.exists()"
} ],
"path": "Condition.evidence",
"min": 0,
"definition": "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.",
"isModifier": false,
"short": "Supporting evidence",
"mapping": [ {
"map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "Condition.evidence",
"comment": "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",
"base": {
"max": "*",
"min": 0,
"path": "Condition.evidence"
},
"isSummary": false
}, {
"path": "Condition.evidence.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Condition.evidence.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Condition.evidence.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Condition.evidence.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Condition.evidence.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Condition.evidence.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Condition.evidence.code",
"min": 0,
"definition": "A manifestation or symptom that led to the recording of this condition.",
"isModifier": false,
"short": "Manifestation/symptom",
"mapping": [ {
"map": "Event.reasonCode",
"identity": "workflow"
}, {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "< 404684003 |Clinical finding|",
"identity": "sct-concept"
}, {
"map": "[code=\"diagnosis\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/manifestation-or-symptom",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ManifestationOrSymptom"
} ],
"description": "Codes that describe the manifestation or symptoms of a condition."
},
"max": "*",
"id": "Condition.evidence.code",
"condition": [ "con-2" ],
"base": {
"max": "*",
"min": 0,
"path": "Condition.evidence.code"
},
"isSummary": true
}, {
"path": "Condition.evidence.detail",
"min": 0,
"definition": "Links to other relevant information, including pathology reports.",
"isModifier": false,
"short": "Supporting information found elsewhere",
"mapping": [ {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".self",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
} ],
"max": "*",
"id": "Condition.evidence.detail",
"condition": [ "con-2" ],
"base": {
"max": "*",
"min": 0,
"path": "Condition.evidence.detail"
},
"isSummary": true
}, {
"path": "Condition.note",
"min": 0,
"definition": "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.",
"isModifier": false,
"short": "Additional information about the Condition",
"mapping": [ {
"map": "Event.note",
"identity": "workflow"
}, {
"map": "NTE child of PRB",
"identity": "v2"
}, {
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "Annotation"
} ],
"max": "*",
"id": "Condition.note",
"base": {
"max": "*",
"min": 0,
"path": "Condition.note"
},
"isSummary": false
} ]
},
"status": "draft",
"id": "39ce308a-8b1a-4677-9a42-fb7305efb59e",
"kind": "resource",
"url": "http://hl7.org/fhir/uv/ips/StructureDefinition/condition-uv-ips",
"version": "0.2.0",
"differential": {
"element": [ {
"id": "Condition",
"path": "Condition",
"short": "Documentation of a health problem of the patient"
}, {
"id": "Condition.identifier",
"max": "1",
"path": "Condition.identifier"
}, {
"id": "Condition.clinicalStatus",
"min": 1,
"path": "Condition.clinicalStatus",
"mustSupport": true
}, {
"id": "Condition.verificationStatus",
"min": 1,
"path": "Condition.verificationStatus",
"comment": "This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
"mustSupport": true
}, {
"id": "Condition.category",
"max": "1",
"path": "Condition.category",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionCategory"
} ]
},
"comment": "In this profile, Condition represents a health problem of the patient. Therefore the code is fixed to the value problem-list-item.",
"definition": "A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'.\r\n",
"mustSupport": true
}, {
"id": "Condition.severity",
"path": "Condition.severity",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/condition-severity-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionSeverity"
} ]
},
"mustSupport": true
}, {
"id": "Condition.code",
"min": 1,
"path": "Condition.code",
"definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".",
"mustSupport": true
}, {
"id": "Condition.code.coding",
"min": 1,
"path": "Condition.code.coding",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "binding.valueSet",
"type": "value"
} ]
},
"definition": "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\".",
"mustSupport": true
}, {
"path": "Condition.code.coding",
"min": 1,
"definition": "Code representing the statement \"absent problem\" or the statement \"problems unknown\"",
"short": "Code for absent problem or for unknown problem",
"type": [ {
"code": "Coding",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ]
} ],
"sliceName": "absentOrUnknownProblem",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionKind"
} ],
"description": "Absent problem or unknown problem"
},
"max": "1",
"id": "Condition.code.coding:absentOrUnknownProblem"
}, {
"id": "Condition.code.coding:@default",
"max": "1",
"path": "Condition.code.coding",
"type": [ {
"code": "Coding",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ]
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/core-problem-list-disorders-uv-ips",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConditionKind"
} ],
"description": "Identification of the problem"
},
"sliceName": "@default"
}, {
"id": "Condition.bodySite",
"path": "Condition.bodySite",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/codeableconcept-uv-ips" ]
} ]
}, {
"id": "Condition.subject",
"path": "Condition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
} ],
"mustSupport": true
}, {
"id": "Condition.subject.identifier",
"max": "0",
"path": "Condition.subject.identifier"
}, {
"id": "Condition.onsetDateTime:onsetDateTime",
"min": 1,
"path": "Condition.onsetDateTime",
"type": [ {
"code": "dateTime"
} ],
"sliceName": "onsetDateTime",
"mustSupport": true
}, {
"id": "Condition.abatement[x]",
"path": "Condition.abatement[x]",
"mustSupport": true
}, {
"id": "Condition.asserter",
"path": "Condition.asserter",
"definition": "Individual who is making the condition statement.\r\nInformation source."
}, {
"id": "Condition.asserter.identifier",
"max": "0",
"path": "Condition.asserter.identifier"
} ]
},
"contact": [ {
"name": "François Macary - Phast"
}, {
"name": "Christof Gessner - Gematik"
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}