US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
Publication Build: This will be filled in by the publication tooling
Official URL: http://va.gov/fhir/StructureDefinition/ConditionProblem | Version: 1.3.1 | |||
Active as of 2025-03-31 | Computable Name: ConditionProblem |
This StructureDefinition contains the maps for VistA file PROBLEM (9000011) to us-core-condition-problems-health-concerns.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..* | Identifier | External Ids for this condition ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 |
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SΣ | 0..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
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?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus ele-1: All FHIR elements must have a @value or children cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved |
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?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
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S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
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SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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SΣ | 0..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct |
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SΣ | 0..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:see-termmap-in-mapParameter |
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SΣ | 0..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
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SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SC | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet / Code | URI |
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | |
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:us-core | required | Pattern: problem-list-itemhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
Condition.category:sdoh | extensible | Pattern: sdohhttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.code | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : 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() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 : 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() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) | |
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S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 |
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S | 0..1 | string | The value that is unique |
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C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved |
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0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus | |
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Content/Rules for all slices | |||
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1..* | CodeableConcept | problem-list-item | health-concern Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
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0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
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Content/Rules for all slices | |||
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S | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
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S | 0..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | Coding | Code defined by a terminology system |
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S | 0..1 | uri | Identity of the terminology system Required Pattern: urn:see-termmap-in-mapParameter |
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S | 0..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | string | Plain text representation of the concept |
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1..1 | Reference(Patient) | Who has the condition? | |
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0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | Estimated or actual date, date-time, or age |
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0..1 | dateTime, Age, Period, Range, string | When in resolution/remission Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | When in resolution/remission |
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0..1 | dateTime | Date record was first recorded | |
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S | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | |
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG |
Id | Grade | Path(s) | Details | Requirements |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 | ||||
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SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved | ||||
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?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus | ||||
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S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
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SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: urn:see-termmap-in-mapParameter | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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SΣ | 1..1 | Reference(Patient) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SΣ | 0..1 | dateTime S | Estimated or actual date, date-time, or age | ||||
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SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SC | 0..1 | dateTime S | When in resolution/remission | ||||
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SΣ | 0..1 | dateTime | Date record was first recorded | ||||
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SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Condition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | ||||
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:us-core | required | Pattern: problem-list-itemhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
Condition.category:sdoh | extensible | Pattern: sdohhttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : 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() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 : 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() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..* | Identifier | External Ids for this condition ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 |
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SΣ | 0..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
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?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus ele-1: All FHIR elements must have a @value or children cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved |
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?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
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S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
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SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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SΣ | 0..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct |
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SΣ | 0..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: urn:see-termmap-in-mapParameter |
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SΣ | 0..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
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SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SC | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet / Code | URI |
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | |
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:us-core | required | Pattern: problem-list-itemhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
Condition.category:sdoh | extensible | Pattern: sdohhttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.code | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : 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() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 : 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() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) | |
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S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 |
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S | 0..1 | string | The value that is unique |
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C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved |
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0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus | |
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Content/Rules for all slices | |||
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1..* | CodeableConcept | problem-list-item | health-concern Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |
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0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
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Content/Rules for all slices | |||
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S | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
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S | 0..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | Coding | Code defined by a terminology system |
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S | 0..1 | uri | Identity of the terminology system Required Pattern: urn:see-termmap-in-mapParameter |
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S | 0..1 | code | Symbol in syntax defined by the system |
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S | 0..1 | string | Plain text representation of the concept |
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1..1 | Reference(Patient) | Who has the condition? | |
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0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | Estimated or actual date, date-time, or age |
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0..1 | dateTime, Age, Period, Range, string | When in resolution/remission Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | When in resolution/remission |
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0..1 | dateTime | Date record was first recorded | |
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S | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | |
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG |
Id | Grade | Path(s) | Details | Requirements |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Detailed information about conditions, problems or diagnoses This profile also complies with the profiles US Core Condition Problems and Health Concerns Profile (6.1.0) and US Core Condition Problems and Health Concerns Profile (7.0.0) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/9000011 | ||||
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SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: problemStatus FHIR (required): see mapping VF_problemStatus cp-16-349: If (9000011-1.07) is Not Null then fixed value #resolved | ||||
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?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: problemVerificationStatus FHIR (required): see mapping VF_problemVerificationStatus | ||||
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S | 1..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: problem-list-item | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
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SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: urn:see-termmap-in-mapParameter | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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SΣ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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SΣ | 1..1 | Reference(Patient) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SΣ | 0..1 | dateTime S | Estimated or actual date, date-time, or age | ||||
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SC | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SC | 0..1 | dateTime S | When in resolution/remission | ||||
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SΣ | 0..1 | dateTime | Date record was first recorded | ||||
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SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Condition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Condition.clinicalStatus | required | ProblemStatushttp://va.gov/fhir/ValueSet/problemStatus from this IG | ||||
Condition.verificationStatus | required | ProblemVerificationStatushttp://va.gov/fhir/ValueSet/problemVerificationStatus from this IG | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:us-core | required | Pattern: problem-list-itemhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
Condition.category:sdoh | extensible | Pattern: sdohhttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : 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() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
cp-16-349 | warning | Condition.clinicalStatus | If (9000011-1.07) is Not Null then fixed value #resolved : true | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 : 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() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron