HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)
The official URL for this profile is:
http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ConditionPresenceStatement
A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.
This profile builds on US Core Condition (a.k.a Problem) Profile.
This profile was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.
View the corresponding ConditionPresenceStatementModel logical model.
Summary
Mandatory: 0 element (3 nested mandatory elements)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
SW Mapping Source
This structure represents the following SW mapping definition:
cimi.statement.ConditionPresenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: Category maps to category TopicCode maps to code constrain bodySite to 0..0 AnatomicalLocation maps to http://hl7.org/fhir/StructureDefinition/condition-targetBodySite Encounter maps to context ClinicalStatus maps to clinicalStatus VerificationStatus maps to verificationStatus Onset maps to onset[x] Abatement maps to abatement[x] Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Stage.StageDetail maps to stage.assessment
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | I | 0..* | SW ConditionPresenceStatement Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
  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) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 1..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| condition-targetBodySite | 0..* | Reference(BodySite) | Extension URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite | |
| cimi-core-PersonOfRecord-extension | 1..1 | Reference(US Core Patient Profile) | SW PersonOfRecord Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension | |
 cimi-core-Recorded-extension | 0..1 | (Complex) | SW Recorded Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension | |
| cimi-core-Signed-extension | 0..1 | (Complex) | SW Signed Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension | |
| cimi-core-AdditionalText-extension | 0..1 | string | SW AdditionalText Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension | |
| cimi-statement-ContextCode-extension | 0..1 | CodeableConcept | SW ContextCode Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension | |
  id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension" | |
 valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: SW PresenceContextVS ValueSet (required) | |
| cimi-topic-StatementTopic-extension | 0..1 | (Complex) | SW StatementTopic Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension | |
| cimi-statement-Interpretation-extension | 0..1 | CodeableConcept | SW Interpretation Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension Binding: Observation Interpretation Codes (extensible) | |
| cimi-statement-RelevantTime-extension | 0..1 | dateTime, Period | SW RelevantTime Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension | |
| cimi-statement-FindingMethod-extension | 0..1 | CodeableConcept | SW FindingMethod Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension Binding: SW FindingMethodVS ValueSet (preferred) | |
| cimi-datatypes-Media-extension | 0..* | Attachment | SW Media Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension | |
| cimi-statement-Certainty-extension | 0..1 | CodeableConcept | SW Certainty Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Certainty-extension | |
| cimi-statement-ConditionCause-extension | 0..* | CodeableConcept, Reference(SW Entity Profile | SW ClinicalStatement Profile) | SW ConditionCause Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ConditionCause-extension | |
| cimi-statement-ConditionIdentifier-extension | 0..1 | string | SW ConditionIdentifier Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ConditionIdentifier-extension | |
| cimi-statement-WhenClinicallyRecognized-extension | 0..1 | date | SW WhenClinicallyRecognized Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension | |
| cimi-statement-PresentOnAdmission-extension | 0..1 | CodeableConcept | SW PresentOnAdmission Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension Binding: SW YesNoUnknownVS ValueSet (required) | |
| cimi-statement-Criticality-extension | 0..1 | code | SW Criticality Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Criticality-extension Binding: AllergyIntoleranceCriticality (required) | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
| verificationStatus | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
| category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: SW ConditionCategoryVS ValueSet (required) |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: (extensible) |
 subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| context | Σ | 0..1 | Reference(SW Encounter Profile) | Encounter or episode when condition first asserted |
 onset[x] | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| abatement[x] | I | 0..1 | dateTime, Age, boolean, Period, Range, string | If/when in resolution/remission |
| assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
| asserter | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | 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) |
 assessment | I | 0..1 | Reference(SW Observation Profile) | 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 | |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (3 nested mandatory elements)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
SW Mapping Source
This structure represents the following SW mapping definition:
cimi.statement.ConditionPresenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: Category maps to category TopicCode maps to code constrain bodySite to 0..0 AnatomicalLocation maps to http://hl7.org/fhir/StructureDefinition/condition-targetBodySite Encounter maps to context ClinicalStatus maps to clinicalStatus VerificationStatus maps to verificationStatus Onset maps to onset[x] Abatement maps to abatement[x] Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Stage.StageDetail maps to stage.assessment
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | SW ConditionPresenceStatement Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
| 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) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 1..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| condition-targetBodySite | 0..* | Reference(BodySite) | Extension URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite | |
| cimi-core-PersonOfRecord-extension | 1..1 | Reference(US Core Patient Profile) | SW PersonOfRecord Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension | |
| cimi-core-Recorded-extension | 0..1 | (Complex) | SW Recorded Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension | |
| cimi-core-Signed-extension | 0..1 | (Complex) | SW Signed Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension | |
| cimi-core-AdditionalText-extension | 0..1 | string | SW AdditionalText Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension | |
| cimi-statement-ContextCode-extension | 0..1 | CodeableConcept | SW ContextCode Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension" | |
| valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: SW PresenceContextVS ValueSet (required) | |
| cimi-topic-StatementTopic-extension | 0..1 | (Complex) | SW StatementTopic Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension | |
| cimi-statement-Interpretation-extension | 0..1 | CodeableConcept | SW Interpretation Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension Binding: Observation Interpretation Codes (extensible) | |
| cimi-statement-RelevantTime-extension | 0..1 | dateTime, Period | SW RelevantTime Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension | |
| cimi-statement-FindingMethod-extension | 0..1 | CodeableConcept | SW FindingMethod Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension Binding: SW FindingMethodVS ValueSet (preferred) | |
| cimi-datatypes-Media-extension | 0..* | Attachment | SW Media Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension | |
| cimi-statement-Certainty-extension | 0..1 | CodeableConcept | SW Certainty Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Certainty-extension | |
| cimi-statement-ConditionCause-extension | 0..* | CodeableConcept, Reference(SW Entity Profile | SW ClinicalStatement Profile) | SW ConditionCause Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ConditionCause-extension | |
| cimi-statement-ConditionIdentifier-extension | 0..1 | string | SW ConditionIdentifier Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ConditionIdentifier-extension | |
| cimi-statement-WhenClinicallyRecognized-extension | 0..1 | date | SW WhenClinicallyRecognized Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension | |
| cimi-statement-PresentOnAdmission-extension | 0..1 | CodeableConcept | SW PresentOnAdmission Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension Binding: SW YesNoUnknownVS ValueSet (required) | |
| cimi-statement-Criticality-extension | 0..1 | code | SW Criticality Extension URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Criticality-extension Binding: AllergyIntoleranceCriticality (required) | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
| verificationStatus | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
| category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: SW ConditionCategoryVS ValueSet (required) |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: (extensible) |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| context | Σ | 0..1 | Reference(SW Encounter Profile) | Encounter or episode when condition first asserted |
| onset[x] | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| abatement[x] | I | 0..1 | dateTime, Age, boolean, Period, Range, string | If/when in resolution/remission |
| assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
| asserter | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | 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) |
| assessment | I | 0..1 | Reference(SW Observation Profile) | 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 | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Name | Conformance | ValueSet |
| Condition.language | Common Languages | extensible | Common Languages |
| Condition.extension.valueCodeableConcept | SW PresenceContextVS ValueSet | required | PresenceContextVS |
| Condition.clinicalStatus | Condition Clinical Status Codes | required | Condition Clinical Status Codes |
| Condition.verificationStatus | ConditionVerificationStatus | required | ConditionVerificationStatus |
| Condition.category | SW ConditionCategoryVS ValueSet | required | ConditionCategoryVS |
| Condition.severity | Condition/Diagnosis Severity | required | Condition/Diagnosis Severity |
| Condition.code | Problem Value Set | extensible | Problem Value Set |
| Condition.stage.summary | Condition Stage | example | Condition Stage |
| Condition.evidence.code | Manifestation and Symptom Codes | example | Manifestation and Symptom Codes |
| 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() | |
| us-core-1 | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').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() |
