HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

WoundPresenceAssertionProfile

 

The official URL for this profile is: 

http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundPresenceAssertion

A determination that a wound that exists at a particular body site. The WoundIdentifier serves as a link between this assertion and assessments of the wound that might occur at later times. Multiple wound assessments can be associated with a single wound.

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 WoundPresenceAssertionModel logical model.

Summary

Mandatory: 0 element (9 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Condition.category.coding is sliced based on the value of value:code
  • The element Condition.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

sw.WoundPresenceAssertion 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
  WoundAnatomicalLocation 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition SW WoundPresenceAssertion Profile
... extension 3..*
... condition-targetBodySite 1..1Reference(BodySite)Extension
URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite
... cimi-core-PersonOfRecord-extension 1..1Reference(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..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... valueCodeableConcept Binding: SW PresenceContextVS ValueSet (required)
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... sw-WoundTypeEtiology-extension 0..1CodeableConceptSW WoundTypeEtiology Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTypeEtiology-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1181.3/expansion (required)
... sw-WoundIdentifier-extension 0..1stringSW WoundIdentifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundIdentifier-extension
... cimi-statement-WhenClinicallyRecognized-extension 0..1dateSW WhenClinicallyRecognized Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension
... cimi-statement-PresentOnAdmission-extension 0..1CodeableConceptSW PresentOnAdmission Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension
Binding: SW YesNoUnknownVS ValueSet (required)
... sw-WoundType-extension 1..1CodeableConceptSW WoundType Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundType-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20.2.6/expansion (extensible)
... clinicalStatus 1..1
... category 1..1
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: exam
... severity 0..0
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingWound (disorder)
..... system Fixed Value: http://snomed.info/sct
..... code Fixed Value: 416462003
... bodySite 0..0
... context Reference(SW Encounter Profile)
... onsetDateTime dateTime
... abatementDateTime dateTime
... stage
.... assessment 0..1Reference(SW Observation Profile)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*SW WoundPresenceAssertion Profile
us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
... 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
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 3..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... condition-targetBodySite 1..1Reference(BodySite)Extension
URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite
... cimi-core-PersonOfRecord-extension 1..1Reference(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..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: SW PresenceContextVS ValueSet (required)
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... sw-WoundTypeEtiology-extension 0..1CodeableConceptSW WoundTypeEtiology Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTypeEtiology-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1181.3/expansion (required)
... sw-WoundIdentifier-extension 0..1stringSW WoundIdentifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundIdentifier-extension
... cimi-statement-WhenClinicallyRecognized-extension 0..1dateSW WhenClinicallyRecognized Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension
... cimi-statement-PresentOnAdmission-extension 0..1CodeableConceptSW PresentOnAdmission Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension
Binding: SW YesNoUnknownVS ValueSet (required)
... sw-WoundType-extension 1..1CodeableConceptSW WoundType Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundType-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20.2.6/expansion (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI1..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: (preferred)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: exam
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingWound (disorder)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 416462003
..... display Σ0..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 SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(SW Encounter Profile)Encounter or episode when condition first asserted
... onsetDateTime Σ0..1dateTimeEstimated or actual date, date-time, or age
... abatementDateTime I0..1dateTimeIf/when in resolution/remission
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..1Reference(SW Observation Profile)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Summary

Mandatory: 0 element (9 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Condition.category.coding is sliced based on the value of value:code
  • The element Condition.code.coding is sliced based on the value of value:code

SW Mapping Source

This structure represents the following SW mapping definition:

sw.WoundPresenceAssertion 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
  WoundAnatomicalLocation 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition SW WoundPresenceAssertion Profile
... extension 3..*
... condition-targetBodySite 1..1Reference(BodySite)Extension
URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite
... cimi-core-PersonOfRecord-extension 1..1Reference(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..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... valueCodeableConcept Binding: SW PresenceContextVS ValueSet (required)
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... sw-WoundTypeEtiology-extension 0..1CodeableConceptSW WoundTypeEtiology Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTypeEtiology-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1181.3/expansion (required)
... sw-WoundIdentifier-extension 0..1stringSW WoundIdentifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundIdentifier-extension
... cimi-statement-WhenClinicallyRecognized-extension 0..1dateSW WhenClinicallyRecognized Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension
... cimi-statement-PresentOnAdmission-extension 0..1CodeableConceptSW PresentOnAdmission Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension
Binding: SW YesNoUnknownVS ValueSet (required)
... sw-WoundType-extension 1..1CodeableConceptSW WoundType Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundType-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20.2.6/expansion (extensible)
... clinicalStatus 1..1
... category 1..1
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: exam
... severity 0..0
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingWound (disorder)
..... system Fixed Value: http://snomed.info/sct
..... code Fixed Value: 416462003
... bodySite 0..0
... context Reference(SW Encounter Profile)
... onsetDateTime dateTime
... abatementDateTime dateTime
... stage
.... assessment 0..1Reference(SW Observation Profile)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*SW WoundPresenceAssertion Profile
us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
... 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
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 3..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... condition-targetBodySite 1..1Reference(BodySite)Extension
URL: http://hl7.org/fhir/StructureDefinition/condition-targetBodySite
... cimi-core-PersonOfRecord-extension 1..1Reference(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..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: SW PresenceContextVS ValueSet (required)
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... sw-WoundTypeEtiology-extension 0..1CodeableConceptSW WoundTypeEtiology Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundTypeEtiology-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1181.3/expansion (required)
... sw-WoundIdentifier-extension 0..1stringSW WoundIdentifier Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundIdentifier-extension
... cimi-statement-WhenClinicallyRecognized-extension 0..1dateSW WhenClinicallyRecognized Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-WhenClinicallyRecognized-extension
... cimi-statement-PresentOnAdmission-extension 0..1CodeableConceptSW PresentOnAdmission Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PresentOnAdmission-extension
Binding: SW YesNoUnknownVS ValueSet (required)
... sw-WoundType-extension 1..1CodeableConceptSW WoundType Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/sw-WoundType-extension
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20.2.6/expansion (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI1..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: (preferred)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: exam
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingWound (disorder)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 416462003
..... display Σ0..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 SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(SW Encounter Profile)Encounter or episode when condition first asserted
... onsetDateTime Σ0..1dateTimeEstimated or actual date, date-time, or age
... abatementDateTime I0..1dateTimeIf/when in resolution/remission
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..1Reference(SW Observation Profile)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Condition.languageCommon LanguagesextensibleCommon Languages
Condition.extension.valueCodeableConceptSW PresenceContextVS ValueSetrequiredPresenceContextVS
Condition.clinicalStatusCondition Clinical Status CodesrequiredCondition Clinical Status Codes
Condition.verificationStatusConditionVerificationStatusrequiredConditionVerificationStatus
Condition.categoryUS Core Condition Category CodespreferredUS Core Condition Category Codes
Condition.codeProblem Value SetextensibleProblem Value Set
Condition.stage.summaryCondition StageexampleCondition Stage
Condition.evidence.codeManifestation and Symptom CodesexampleManifestation and Symptom Codes

 

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()
us-core-1ConditionA 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-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()