INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build

INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-ProblemHeader-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-ProblemHeader-Condition-1

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*Condition
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-ActualProblem-1 0..1Reference()A reference to a resource that is the actual problem
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1
... Extension-CareConnect-RelatedProblemHeader-1 0..*(Complex)Related problem header condition (target)
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1
... Extension-CareConnect-RelatedClinicalContent-1 0..*Reference()A reference to any resource that provides related clinical content to the Condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... clinicalStatus 0..1codeactive | inactive
... category 1..1CodeableConceptproblem-list-item | encounter-diagnosis | presenting-complaint
Binding: Care Connect Condition Category (extensible)
.... coding
..... system 1..1uriFixed Value: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1
..... code 1..1codeFixed Value: problem-list-item
..... display 1..1stringFixed Value: Problem List Item
... severity 0..0
... code
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Condition Code (required)
...... extension 0..*ExtensionSlice: 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 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... bodySite 0..0
... subject 1..1Reference(Group | CareConnect-Patient-1)
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)
... asserter 0..1Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)
... stage 0..0
... evidence 0..0
... note
.... author[x] 0..1
..... authorReferenceReference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Patient-1)
..... authorStringstring

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-ActualProblem-1 I0..1Reference()A reference to a resource that is the actual problem
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1
... Extension-CareConnect-RelatedProblemHeader-1 I0..*(Complex)Related problem header condition (target)
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1
... Extension-CareConnect-ProblemSignificance-1 I0..1codeAn extension to record the significance of the problem header condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1
... Extension-CareConnect-RelatedClinicalContent-1 I0..*Reference()A reference to any resource that provides related clinical content to the Condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... clinicalStatus ?!ΣI0..1codeactive | inactive
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category 1..1CodeableConceptproblem-list-item | encounter-diagnosis | presenting-complaint
Binding: Care Connect Condition Category (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
..... display Σ1..1stringRepresentation defined by the system
Fixed Value: Problem List Item
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/Diagnosis Codes (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Group | CareConnect-Patient-1)Who has the condition?
... context Σ0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Encounter or episode when condition first asserted
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1If/when in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementBooleanboolean
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)Person who asserts this condition
... note 0..*AnnotationAdditional information about the Condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Patient-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content

doco Documentation for this format

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*Condition
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-ActualProblem-1 0..1Reference()A reference to a resource that is the actual problem
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1
... Extension-CareConnect-RelatedProblemHeader-1 0..*(Complex)Related problem header condition (target)
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1
... Extension-CareConnect-RelatedClinicalContent-1 0..*Reference()A reference to any resource that provides related clinical content to the Condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... clinicalStatus 0..1codeactive | inactive
... category 1..1CodeableConceptproblem-list-item | encounter-diagnosis | presenting-complaint
Binding: Care Connect Condition Category (extensible)
.... coding
..... system 1..1uriFixed Value: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1
..... code 1..1codeFixed Value: problem-list-item
..... display 1..1stringFixed Value: Problem List Item
... severity 0..0
... code
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Condition Code (required)
...... extension 0..*ExtensionSlice: 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 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... bodySite 0..0
... subject 1..1Reference(Group | CareConnect-Patient-1)
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)
... asserter 0..1Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)
... stage 0..0
... evidence 0..0
... note
.... author[x] 0..1
..... authorReferenceReference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Patient-1)
..... authorStringstring

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-ActualProblem-1 I0..1Reference()A reference to a resource that is the actual problem
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1
... Extension-CareConnect-RelatedProblemHeader-1 I0..*(Complex)Related problem header condition (target)
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1
... Extension-CareConnect-ProblemSignificance-1 I0..1codeAn extension to record the significance of the problem header condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1
... Extension-CareConnect-RelatedClinicalContent-1 I0..*Reference()A reference to any resource that provides related clinical content to the Condition
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... clinicalStatus ?!ΣI0..1codeactive | inactive
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category 1..1CodeableConceptproblem-list-item | encounter-diagnosis | presenting-complaint
Binding: Care Connect Condition Category (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
..... display Σ1..1stringRepresentation defined by the system
Fixed Value: Problem List Item
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/Diagnosis Codes (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Group | CareConnect-Patient-1)Who has the condition?
... context Σ0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Encounter or episode when condition first asserted
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1If/when in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementBooleanboolean
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(CareConnect-RelatedPerson-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)Person who asserts this condition
... note 0..*AnnotationAdditional information about the Condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Patient-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Condition.languageextensibleCommon Languages
Max Binding: All Languages
Condition.identifier.userequiredIdentifierUse
Condition.identifier.typeextensibleIdentifier Type Codes
Condition.clinicalStatusrequiredCondition Clinical Status Codes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleCare Connect Condition Category
Condition.codeexampleCondition/Problem/Diagnosis Codes
Condition.code.coding:snomedCTrequiredCare Connect Condition Code
Condition.stage.summaryexampleCondition Stage
Condition.evidence.codeexampleManifestation and Symptom Codes

Constraints

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ConditionIf 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-3ConditionIf 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-4ConditionIf 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-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
: verificationStatus='entered-in-error' or clinicalStatus.exists()
ele-1Condition.extension:actualProblemAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extension:actualProblemMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:relatedProblemHeaderAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extension:relatedProblemHeaderMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:problemSignificanceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extension:problemSignificanceMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:relatedClinicalContentAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extension:relatedClinicalContentMust have either extensions or value[x], not both
: extension.exists() != value.exists()