{
  "description": "Fresenius Condition Profile",
  "_filename": "StructureDefinition-fmc-condition-profile.json",
  "package_name": "fmcna.caredata.fhir.ig.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "FreseniusConidtion",
  "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 Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Fresenius Condition Profile",
  "package_version": "1.1.9",
  "status": "active",
  "id": "7d4b2085-0e71-441c-b90c-9554683701e1",
  "kind": "resource",
  "url": "http://fkcfhir.org/fhir/StructureDefinition/fmc-condition-profile",
  "version": "1.1.8",
  "differential": {
    "element": [ {
      "id": "Condition",
      "path": "Condition",
      "constraint": [ {
        "key": "con-3",
        "human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
        "xpath": "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))",
        "source": "http://hl7.org/fhir/StructureDefinition/Condition",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
        } ],
        "expression": "clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').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": "http://hl7.org/fhir/StructureDefinition/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-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": "http://hl7.org/fhir/StructureDefinition/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": "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": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.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 $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/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-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": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "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": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/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 human 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": "cond-1",
        "human": "Condition onset start datetime must be less that current date + 1 year",
        "source": "http://fkcfhir.org/fhir/StructureDefinition/fmc-condition-profile",
        "severity": "error",
        "expression": "Condition.onsetPeriod.where(start <= (now() - 1 year))"
      } ]
    }, {
      "id": "Condition.extension",
      "min": 1,
      "path": "Condition.extension"
    }, {
      "id": "Condition.extension:conidtionType",
      "max": "1",
      "min": 0,
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fkcfhir.org/fhir/StructureDefinition/fmc-condition-type-extn" ]
      } ],
      "short": "Condition Type",
      "sliceName": "conidtionType",
      "mustSupport": true
    }, {
      "id": "Condition.extension:conidtionEoc",
      "max": "1",
      "min": 1,
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fkcfhir.org/fhir/StructureDefinition/fmc-condition-eoc-extn" ]
      } ],
      "short": "Condition Episode Of Care",
      "sliceName": "conidtionEoc",
      "mustSupport": true
    }, {
      "id": "Condition.identifier",
      "min": 1,
      "base": {
        "max": "*",
        "min": 1,
        "path": "Condition.identifier"
      },
      "path": "Condition.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Condition.identifier:ConditionIdentifier",
      "max": "1",
      "min": 1,
      "path": "Condition.identifier",
      "sliceName": "ConditionIdentifier",
      "mustSupport": true
    }, {
      "id": "Condition.identifier:ConditionIdentifier.system",
      "min": 1,
      "path": "Condition.identifier.system",
      "patternUri": "urn:oid:2.16.840.1.113883.3.7418.15.1"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis"
}