StructureDefinition UKCore-Condition

Canonical_URLStatusCurrent_VersionLast_UpdatedDescription
https://fhir.hl7.org.uk/StructureDefinition/UKCore-Conditionactive2.6.02024-06-07

This profile defines the UK constraints and extensions on the International FHIR resource Condition.


Profile_Purpose

This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

The condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician's assessment and assertion of a particular aspect of an individual's state of health.

It can be used to record information about a disease/illness identified from the application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern).

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
bodyStructureR6I0..1Extension(Reference(UKCoreCondition))
conditionEpisodeI0..*Extension(CodeableConcept)
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
clinicalStatusS Σ ?! I0..1CodeableConceptBinding
verificationStatusS Σ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severityS0..1CodeableConceptBinding
codeS Σ0..1CodeableConceptBinding
bodySiteΣ0..*CodeableConceptBinding
subjectS Σ I1..1Reference(Patient | Group)
encounterΣ I0..1Reference(Encounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
recorderS Σ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
note0..*Annotation

Detailed Descriptions

Condition
DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Cardinality0...*
Invariants
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: 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: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
  • con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
  • con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
  • sct-concept: < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
  • v2: PPR message
  • rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
Condition.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
Typestring
SummaryTrue
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Condition.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Condition.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Condition.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
Binding

A human language.

CommonLanguages (preferred)
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Condition.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
Condition.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...*
TypeResource
Aliasinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
Condition.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.extension:bodyStructureR6
DefinitionOptional Extension Element - found in all resources.
Cardinality0...1
TypeExtension(Reference(UKCoreCondition))
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.extension:conditionEpisode
DefinitionThe episodicity status of a condition.
Cardinality0...*
TypeExtension(CodeableConcept)
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, user content
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.identifier
DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Cardinality0...*
TypeIdentifier
SummaryTrue
Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: .id
Condition.clinicalStatus
DefinitionThe clinical status of the condition.
Cardinality0...1
TypeCodeableConcept
Binding

The clinical status of the condition or diagnosis.

ConditionClinicalStatusCodes (required)
Must SupportTrue
ModifierTrue
SummaryTrue
Comments

The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.status
  • w5: FiveWs.status
  • sct-concept: < 303105007 |Disease phases|
  • v2: PRB-14
  • rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
Condition.verificationStatus
DefinitionThe verification status to support the clinical status of the condition.
Cardinality0...1
TypeCodeableConcept
Binding

The verification status to support or decline the clinical status of the condition or diagnosis.

ConditionVerificationStatus (required)
Must SupportTrue
ModifierTrue
SummaryTrue
Comments

verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.status
  • w5: FiveWs.status
  • sct-concept: < 410514004 |Finding context value|
  • v2: PRB-13
  • rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
  • sct-attr: 408729009
Condition.category
DefinitionA category assigned to the condition.
Cardinality0...*
TypeCodeableConcept
Binding

A ValueSet to identify the category of a condition.

UKCoreConditionCategory (extensible)
Comments

The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.class
  • sct-concept: < 404684003 |Clinical finding|
  • v2: 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
  • rim: .code
Condition.severity
DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician.
Cardinality0...1
TypeCodeableConcept
Binding

A subjective assessment of the severity of the condition as evaluated by the clinician.

Condition/DiagnosisSeverity (preferred)
Must SupportTrue
Comments

Coding of the severity with a terminology is preferred, where possible.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.grade
  • sct-concept: < 272141005 |Severities|
  • v2: PRB-26 / ABS-3
  • rim: Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
  • sct-attr: 246112005
Condition.code
DefinitionIdentification of the condition, problem or diagnosis.
Cardinality0...1
TypeCodeableConcept
Binding

A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|).

UKCoreConditionCode (preferred)
Must SupportTrue
SummaryTrue
Aliastype
Requirements

0..1 to account for primarily narrative only resources.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.code
  • w5: FiveWs.what[x]
  • sct-concept: code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
  • v2: PRB-3
  • rim: .value
  • sct-attr: 246090004
Condition.bodySite
DefinitionThe anatomical location where this condition manifests itself.
Cardinality0...*
TypeCodeableConcept
Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (preferred)
SummaryTrue
Comments

Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • sct-concept: < 442083009 |Anatomical or acquired body structure|
  • rim: .targetBodySiteCode
  • sct-attr: 363698007
Condition.subject
DefinitionIndicates the patient or group who the condition record is associated with.
Cardinality1...1
TypeReference(Patient | Group)
Must SupportTrue
SummaryTrue
Aliaspatient
Requirements

Group is typically used for veterinary or public health use cases.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.subject
  • w5: FiveWs.subject[x]
  • v2: PID-3
  • rim: .participation[typeCode=SBJ].role[classCode=PAT]
  • w5: FiveWs.subject
Condition.encounter
DefinitionThe Encounter during which this Condition was created or to which the creation of this record is tightly associated.
Cardinality0...1
TypeReference(Encounter)
SummaryTrue
Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.context
  • w5: FiveWs.context
  • v2: PV1-19 (+PV1-54)
  • rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
Condition.onset[x]
DefinitionEstimated or actual date or date-time the condition began, in the opinion of the clinician.
Cardinality0...1
TypedateTime
SummaryTrue
Comments

Age is generally used when the patient reports an age at which the Condition began to occur.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x]
  • w5: FiveWs.init
  • v2: PRB-16
  • rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
Condition.abatement[x]
DefinitionThe date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.
Cardinality0...1
TypedateTime
Comments

There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.done[x]
  • rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
Condition.recordedDate
DefinitionThe recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
Cardinality0...1
TypedateTime
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.recorded
  • v2: REL-11
  • rim: .participation[typeCode=AUT].time
Condition.recorder
DefinitionIndividual who recorded the record and takes responsibility for its content.
Cardinality0...1
TypeReference(Practitioner | PractitionerRole | Patient | RelatedPerson)
Must SupportTrue
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.author
  • rim: .participation[typeCode=AUT].role
Condition.asserter
DefinitionIndividual who is making the condition statement.
Cardinality0...1
TypeReference(Practitioner | PractitionerRole | Patient | RelatedPerson)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.source
  • v2: REL-7.1 identifier + REL-7.12 type code
  • rim: .participation[typeCode=INF].role
Condition.stage
DefinitionClinical stage or grade of a condition. May include formal severity assessments.
Cardinality0...*
TypeBackboneElement
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • con-1: Stage SHALL have summary or assessment
    summary.exists() or assessment.exists()
Mappings
  • rim: n/a
  • rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
Condition.stage.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Condition.stage.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.stage.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.stage.summary
DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.
Cardinality0...1
TypeCodeableConcept
Binding

Codes describing condition stages (e.g. Cancer stages).

ConditionStage (example)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • sct-concept: < 254291000 |Staging and scales|
  • v2: PRB-14
  • rim: .value
Condition.stage.assessment
DefinitionReference to a formal record of the evidence on which the staging assessment is based.
Cardinality0...*
TypeReference(ClinicalImpression | DiagnosticReport | Observation)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .self
Condition.stage.type
DefinitionThe kind of staging, such as pathological or clinical staging.
Cardinality0...1
TypeCodeableConcept
Binding

Codes describing the kind of condition staging (e.g. clinical or pathological).

ConditionStageType (example)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
Condition.evidence
DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Cardinality0...*
TypeBackboneElement
Comments

The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • con-2: evidence SHALL have code or details
    code.exists() or detail.exists()
Mappings
  • rim: n/a
  • rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
Condition.evidence.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Condition.evidence.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.evidence.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Condition.evidence.code
DefinitionA manifestation or symptom that led to the recording of this condition.
Cardinality0...*
TypeCodeableConcept
Binding

Codes that describe the manifestation or symptoms of a condition.

ManifestationAndSymptomCodes (example)
SummaryTrue
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.reasonCode
  • w5: FiveWs.why[x]
  • sct-concept: < 404684003 |Clinical finding|
  • rim: [code="diagnosis"].value
Condition.evidence.detail
DefinitionLinks to other relevant information, including pathology reports.
Cardinality0...*
TypeReference(Resource)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.why[x]
  • rim: .self
Condition.note
DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Cardinality0...*
TypeAnnotation
Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act
  • workflow: Event.note
  • v2: NTE child of PRB
  • rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Table View

Condition..
Condition.extensionExtension..
Condition.extensionExtension..
Condition.clinicalStatus..
Condition.verificationStatus..
Condition.category..
Condition.severity..
Condition.code..
Condition.bodySite..
Condition.subject..
Condition.recorder..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-Condition" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
    <version value="2.6.0" />
    <name value="UKCoreCondition" />
    <title value="UK Core Condition" />
    <status value="active" />
    <date value="2024-06-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="This profile defines the UK constraints and extensions on the International FHIR resource [Condition](https://hl7.org/fhir/R4/Condition.html)." />
    <purpose value="This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. \n\nThe condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician&#39;s assessment and assertion of a particular aspect of an individual&#39;s state of health. \n\nIt can be used to record information about a disease/illness identified from the application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern)." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Condition" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
    <derivation value="constraint" />
    <differential>
        <element id="Condition.extension:bodyStructureR6">
            <path value="Condition.extension" />
            <sliceName value="bodyStructureR6" />
            <short value="An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition." />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Condition.extension:conditionEpisode">
            <path value="Condition.extension" />
            <sliceName value="conditionEpisode" />
            <short value="The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end." />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode" />
            </type>
        </element>
        <element id="Condition.clinicalStatus">
            <path value="Condition.clinicalStatus" />
            <short value="The clinical status of the condition." />
            <mustSupport value="true" />
        </element>
        <element id="Condition.verificationStatus">
            <path value="Condition.verificationStatus" />
            <short value="The verification status to support the clinical status of the condition." />
            <mustSupport value="true" />
        </element>
        <element id="Condition.category">
            <path value="Condition.category" />
            <binding>
                <strength value="extensible" />
                <description value="A ValueSet to identify the category of a condition." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory" />
            </binding>
        </element>
        <element id="Condition.severity">
            <path value="Condition.severity" />
            <short value="A subjective assessment of the severity of the condition as evaluated by the clinician." />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code">
            <path value="Condition.code" />
            <short value="Identification of the condition, problem or diagnosis." />
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;404684003 |Clinical finding| OR &lt;413350009 |Finding with explicit context| OR &lt;272379006 |Event|)." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode" />
            </binding>
        </element>
        <element id="Condition.bodySite">
            <path value="Condition.bodySite" />
            <binding>
                <strength value="preferred" />
            </binding>
        </element>
        <element id="Condition.subject">
            <path value="Condition.subject" />
            <short value="Indicates the patient or group who the condition record is associated with." />
            <mustSupport value="true" />
        </element>
        <element id="Condition.recorder">
            <path value="Condition.recorder" />
            <short value="Individual who recorded the record and takes responsibility for its content." />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-Condition",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
    "version": "2.6.0",
    "name": "UKCoreCondition",
    "title": "UK Core Condition",
    "status": "active",
    "date": "2024-06-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This profile defines the UK constraints and extensions on the International FHIR resource [Condition](https://hl7.org/fhir/R4/Condition.html).",
    "purpose": "This profile allows recording of detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. \n\nThe condition could be a point in time diagnosis in the context of an encounter, it could be an item on the practitioner’s problem list, or it could be a concern that doesn’t exist on the practitioner’s problem list. Often, a condition is about a clinician's assessment and assertion of a particular aspect of an individual's state of health. \n\nIt can be used to record information about a disease/illness identified from the application of clinical reasoning over the pathologic and pathophysiologic findings (diagnosis), or identification of health issues/situations that a practitioner considers harmful, potentially harmful and may be investigated and managed (problem), or other health issue/situation that may require ongoing monitoring and/or management (health issue/concern).",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Condition",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Condition.extension:bodyStructureR6",
                "path": "Condition.extension",
                "sliceName": "bodyStructureR6",
                "short": "An extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructure"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Condition.extension:conditionEpisode",
                "path": "Condition.extension",
                "sliceName": "conditionEpisode",
                "short": "The episodicity value of the condition can be represented by one of the following codes: \\nfirst | new | review | end.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode"
                        ]
                    }
                ]
            },
            {
                "id": "Condition.clinicalStatus",
                "path": "Condition.clinicalStatus",
                "short": "The clinical status of the condition.",
                "mustSupport": true
            },
            {
                "id": "Condition.verificationStatus",
                "path": "Condition.verificationStatus",
                "short": "The verification status to support the clinical status of the condition.",
                "mustSupport": true
            },
            {
                "id": "Condition.category",
                "path": "Condition.category",
                "binding": {
                    "strength": "extensible",
                    "description": "A ValueSet to identify the category of a condition.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory"
                }
            },
            {
                "id": "Condition.severity",
                "path": "Condition.severity",
                "short": "A subjective assessment of the severity of the condition as evaluated by the clinician.",
                "mustSupport": true
            },
            {
                "id": "Condition.code",
                "path": "Condition.code",
                "short": "Identification of the condition, problem or diagnosis.",
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "description": "A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|).",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode"
                }
            },
            {
                "id": "Condition.bodySite",
                "path": "Condition.bodySite",
                "binding": {
                    "strength": "preferred"
                }
            },
            {
                "id": "Condition.subject",
                "path": "Condition.subject",
                "short": "Indicates the patient or group who the condition record is associated with.",
                "mustSupport": true
            },
            {
                "id": "Condition.recorder",
                "path": "Condition.recorder",
                "short": "Individual who recorded the record and takes responsibility for its content.",
                "mustSupport": true
            }
        ]
    }
}

Feedback

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Report issue for UKCore-Condition, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Examples

Bleeding From Ear - An example to illustrate a patient bleeding from ear.
Example UKCore-Condition-BleedingFromEar

CodingSCT DescId - An example to illustrate the extension which adds a SNOMED CT description Id to CodeableConcept.
Example UKCore-Extension-CodingSCTDescId

Condition Episode - An example to illustrate the extension which is used to indicate the episodicity status of a condition.
Example UKCore-Extension-ConditionEpisode

Example Usage Scenarios

The following are example usage scenarios for the UK Core Condition profile:

  • Query for a Patient’s current or historical conditions
  • Record or update a Patient’s conditions

Profile Specific Implementation Guidance:

Mandatory and Must Support Data Elements

The following elements are identified as MustSupport, and it is expected that consumers and suppliers SHALL support these as per the MustSupport Guidance.

ElementReason
Condition.clinicalStatusThe clinical status of the condition.
Condition.verificationStatusThe verification status to support the clinical status of the condition.
Condition.severityA subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.codeIdentification of the condition, problem or diagnosis.
Condition.subjectIndicates the patient or group who the condition record is associated with.
Condition.recorderIndividual who recorded the record and takes responsibility for its content.


Extensions

More information about the extensions on the UKCore-Condition profile can be found using the links below.

ExtensionContextLinkComment
bodyStructureR6Condition.extensionhttp://hl7.org/fhir/6.0/StructureDefinition/extension-Condition.bodyStructureAn extension to replicate the changes within R6 to support adding a reference to the body part affected by the diagnosed condition.
conditionEpisodeCondition.extensionhttps://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisodeThe episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end.


Bindings (differential)

More information about the bindings to UK Core ValueSets can be found below.

ContextStrengthLink
Condition.categoryextensiblehttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCategory
Condition.codepreferredhttps://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode

Condition.extension:conditionEpisode extensible ValueSet UKCore-ConditionEpisodicity

subject

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


encounter

Where possible, it is expected that the resource being referenced SHOULD conform to Profile UKCore-Encounter.


recorder

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


asserter

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


stage

Condition.stage.assessment

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


note

The resource referenced in Condition.note.authorReference SHALL conform to one of the following: