INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions
StructureDefinition: CareConnect-Condition-1
This Condition resource records detailed information about conditions or diagnoses recognised by a clinician.
The official URL for this profile is:
https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Summary
Mandatory: 0 element (14 nested mandatory elements)
Fixed Value: 3 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ConditionEpisode-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
Slices
This structure defines the following Slices:
- The element Condition.code.coding is sliced based on the value of value:system
- The element Condition.bodySite.coding is sliced based on the value of value:system
- The element Condition.stage.summary.coding is sliced based on the value of value:system
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | I | 0..* | Condition | Detailed information about conditions, problems or diagnoses |
  id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 Extension-CareConnect-ConditionEpisode-1 | I | 0..* | code | Episodicity of condition URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ConditionEpisode-1 |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | Σ | 0..* | Identifier | External Ids for this condition |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
  assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) |
| clinicalStatus | ?!ΣI | 0..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
| category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis | presenting-complaint Binding: Care Connect Condition Category (extensible) | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred) | |
| code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/Diagnosis Codes (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
 coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
 coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Condition Code (required) |
  id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | Optional Extensions Element URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMED CT Body Structures (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Body Site (required) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | Optional Extensions Element URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(Group | CareConnect-Patient-1) | Who has the condition? |
| context | Σ | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Encounter or episode when condition first asserted |
 onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| abatement[x] | I | 0..1 | If/when in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementAge | Age | |||
| abatementBoolean | boolean | |||
| abatementPeriod | Period | |||
| abatementRange | Range | |||
| abatementString | string | |||
| assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
| asserter | Σ | 0..1 | Reference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Person who asserts this condition |
| stage | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | CareConnect-Observation-1) | Formal record of assessment |
| evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
| detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
 note | 0..* | Annotation | Additional information about the Condition | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |
| authorReference | Reference(RelatedPerson | CareConnect-Practitioner-1 | CareConnect-Patient-1) | |||
| authorString | string | |||
| time | Σ | 0..1 | dateTime | When the annotation was made |
| text | 1..1 | string | The annotation - text content | |
| Documentation for this format | ||||
This structure is derived from Condition
Summary
Mandatory: 0 element (14 nested mandatory elements)
Fixed Value: 3 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ConditionEpisode-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
Slices
This structure defines the following Slices:
- The element Condition.code.coding is sliced based on the value of value:system
- The element Condition.bodySite.coding is sliced based on the value of value:system
- The element Condition.stage.summary.coding is sliced based on the value of value:system
Differential View
This structure is derived from Condition
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | Condition | Detailed information about conditions, problems or diagnoses |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-CareConnect-ConditionEpisode-1 | I | 0..* | code | Episodicity of condition URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ConditionEpisode-1 |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (If known) Binding: IdentifierUse (required) |
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible) |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) |
| clinicalStatus | ?!ΣI | 0..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
| category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis | presenting-complaint Binding: Care Connect Condition Category (extensible) | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred) | |
| code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/Diagnosis Codes (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Condition Code (required) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | Optional Extensions Element URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMED CT Body Structures (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Body Site (required) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | Optional Extensions Element URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 1..1 | Reference(Group | CareConnect-Patient-1) | Who has the condition? |
| context | Σ | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Encounter or episode when condition first asserted |
| onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| abatement[x] | I | 0..1 | If/when in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementAge | Age | |||
| abatementBoolean | boolean | |||
| abatementPeriod | Period | |||
| abatementRange | Range | |||
| abatementString | string | |||
| assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
| asserter | Σ | 0..1 | Reference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1) | Person who asserts this condition |
| stage | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| Extension-coding-sctdescid | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | CareConnect-Observation-1) | Formal record of assessment |
| evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
| detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
| note | 0..* | Annotation | Additional information about the Condition | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |
| authorReference | Reference(RelatedPerson | CareConnect-Practitioner-1 | CareConnect-Patient-1) | |||
| authorString | string | |||
| time | Σ | 0..1 | dateTime | When the annotation was made |
| text | 1..1 | string | The annotation - text content | |
| Documentation for this format | ||||
Other representations of profile: Schematron
Terminology Bindings
Terminology Bindings
| Path | Conformance | ValueSet |
| Condition.language | extensible | Common Languages Max Binding: All Languages |
| Condition.identifier.use | required | IdentifierUse |
| Condition.identifier.type | extensible | Identifier Type Codes |
| Condition.clinicalStatus | required | Condition Clinical Status Codes |
| Condition.category | extensible | Care Connect Condition Category |
| Condition.severity | preferred | Condition/Diagnosis Severity |
| Condition.code | example | Condition/Problem/Diagnosis Codes |
| Condition.code.coding:snomedCT | required | Care Connect Condition Code |
| Condition.bodySite | example | SNOMED CT Body Structures |
| Condition.bodySite.coding:snomedCT | required | Care Connect Body Site |
| Condition.stage.summary | example | Condition Stage |
| Condition.evidence.code | example | Manifestation and Symptom Codes |
Constraints
Constraints
| Id | Path | Details | Requirements |
| dom-2 | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Condition | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| con-4 | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive' | |
| con-3 | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists() | |
| ele-1 | Condition.extension:episodisity | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | Condition.extension:episodisity | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Condition.stage | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| con-1 | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| ele-1 | Condition.evidence | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| con-2 | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |