AU Core Implementation Guide
0.2.1-preview - Preview
This page is part of the Australian Core IG (v0.2.1-preview: AU Core) based on FHIR R4. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition | Version: 0.2.1-preview | |||
Standards status: Draft | Maturity Level: 0 | Computable Name: AUCoreCondition | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
This profile sets minimum expectations for a Condition resource to record, search, and fetch problems, diagnoses, and health concerns associated with a patient. It is based on the AU Base Condition profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Condition resource when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.
The following are supported usage scenarios for this profile:
A resource conforming to this profile is conformant to:
problem-list-item
is suppliedencounter-diagnosis
is suppliedConformance in reverse is not guaranteed, i.e. a resource conforming to International Patient Access, International Patient Summary, or US Core MAY NOT conform to AU Core.
Condition.category
provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.Condition.code.text
and/or Condition.code.coding.display
so that client applications can at least display the condition even if the client application does not recognise the code supplied.Condition.clinicalStatus
Condition.code
Condition.code
and Condition.verificationStatus
of “confirmed” or “unconfirmed”Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error |
clinicalStatus | SC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved |
verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis |
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
code | S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) |
bodySite | SC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT |
subject | S | 1..1 | Reference(AU Core Patient) | Who has the condition? |
encounter | S | 0..1 | Reference(AU Core Encounter) | Encounter created as part of |
onset[x] | S | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
abatement[x] | S | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
recorder | S | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition |
asserter | S | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.severity | extensible | Condition/DiagnosisSeverity |
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
au-core-cond-05 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) |
bodySite | SΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT |
subject | SΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? |
encounter | SΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of |
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
abatement[x] | SC | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
recorder | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition |
asserter | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.severity | extensible | Condition/DiagnosisSeverity |
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
au-core-cond-05 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error | ||||
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: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) | ||||
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) | ||||
bodySite | SΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT | ||||
subject | SΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? | ||||
encounter | SΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of | ||||
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
abatement[x] | SC | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
recorder | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition | ||||
asserter | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition | ||||
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
evidence | C | 0..* | BackboneElement | Supporting evidence | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | ||||
detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
note | S | 0..* | Annotation | Additional information about the Condition | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.severity | extensible | Condition/DiagnosisSeverity | ||||
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() |
This structure is derived from AUBaseCondition
Summary
Mandatory: 2 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Maturity: 0
Differential View
This structure is derived from AUBaseCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error |
clinicalStatus | SC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved |
verificationStatus | S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis |
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
code | S | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) |
bodySite | SC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT |
subject | S | 1..1 | Reference(AU Core Patient) | Who has the condition? |
encounter | S | 0..1 | Reference(AU Core Encounter) | Encounter created as part of |
onset[x] | S | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
abatement[x] | S | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
recorder | S | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition |
asserter | S | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.severity | extensible | Condition/DiagnosisSeverity |
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
au-core-cond-05 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) |
bodySite | SΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT |
subject | SΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? |
encounter | SΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of |
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
abatement[x] | SC | 0..1 | When in resolution/remission | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
recorder | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition |
asserter | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition |
note | S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.severity | extensible | Condition/DiagnosisSeverity |
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
au-core-cond-05 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context au-core-cond-05: Clinical status shall be present if verification status is not entered-in-error | ||||
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: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
severity | S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) | ||||
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (extensible) | ||||
bodySite | SΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT | ||||
subject | SΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? | ||||
encounter | SΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of | ||||
onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
abatement[x] | SC | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
recorder | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Who recorded the condition | ||||
asserter | SΣ | 0..1 | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson) | Person who asserts this condition | ||||
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
evidence | C | 0..* | BackboneElement | Supporting evidence | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | ||||
detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
note | S | 0..* | Annotation | Additional information about the Condition | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.severity | extensible | Condition/DiagnosisSeverity | ||||
Condition.code | extensible | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
Condition.bodySite | extensible | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
Id | Grade | Path(s) | Details | Requirements |
au-core-cond-02 | error | Condition.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() |
This structure is derived from AUBaseCondition
Summary
Mandatory: 2 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. FHIR search operations and the syntax used to describe the interactions is described here.
Any search parameter defined in FHIR may be ‘allowed’ by the system unless explicitly marked as “SHALL NOT”. A few items are marked as MAY in this implementation guide to highlight their potential relevance.
Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) |
---|---|---|---|
patient | SHALL | reference |
The client SHALL provide at least an id value and MAY provide both the Type and id values. The server SHALL support both. |
patient+category | SHALL | reference +token |
|
patient+clinical-status | SHALL | reference +token |
|
patient+category+clinical-status | SHOULD | reference +token +token |
|
patient+code | SHOULD | reference +token |
|
patient.identifier | SHOULD | reference .token |
The client SHALL provide both the system and code values. The server SHALL support both. The client SHOULD support search using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The server SHOULD support search using the using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. |
patient+onset-date | SHOULD | reference +date |
|
category | MAY | token |
The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
clinical-status | MAY | token |
The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
code | MAY | token |
The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
onset-date | MAY | date |
A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
The following search parameters and search parameter combinations SHALL be supported:
patient
search parameter:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
)GET [base]/Condition?patient={Type/}[id]
or optionally GET [base]/Condition?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient (how to search by reference and how to search by token)
patient
and category
search parameters:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
)GET [base]/Condition?patient={Type/}[id]&category={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category code = encounter-diagnosis
(how to search by reference and how to search by token)
patient
and clinical-status
search parameters:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
)GET [base]/Condition?patient={Type/}[id]&clinical-status={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and a clinical status. (how to search by reference and how to search by token)
The following search parameters and search parameter combinations SHOULD be supported:
patient
and category
and clinical-status
search parameters:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
)GET [base]/Condition?patient={Type/}[id]&category={system|}[code]&clinical-status={system|}[code]
Example:
GET [base]/Condition?patient=5678&category=http://terminology.hl7.org/CodeSystem/observation-category|encounter-diagnosis&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical | active |
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category and clinical-status (how to search by reference and how to search by token)
patient
and code
search parameters:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
)code
(e.g.code={system|}[code],{system|}[code],...
)GET [base]/Condition?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and condition code(s). SHOULD support search by multiple codes. The Condition code
parameter searches `Condition.code only. (how to search by reference and how to search by token)
patient
and onset-date
search parameters:
_revinclude
parameters: Provenance:target
patient.identifier
(e.g. patient.identifier=[system|][code]
onset-date
comparators: gt,lt,ge,le
onset-date
(e.g.onset-date=[date]&date=[date]]&...
)GET [base]/Condition?patient={Type/}[id]&onset-date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and onset-date. (how to search by reference and how to search by date)