AU Base Implementation Guide
4.1.0-ballot - CI Build
AU
This page is part of AU Base v4.1.0 based on FHIR R4. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org.au/fhir/StructureDefinition/au-condition | Version: 4.1.0-ballot | |||
Draft as of 2022-11-10 | Maturity Level: 1 | Computable Name: AUBaseCondition | ||
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. |
This profile defines a condition structure including core localisation concepts for use in an Australian context.
The purpose of this profile is to provide national level agreement on core localised concepts.
This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context | |
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |
code | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) | |
bodySite | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | |
evidence | ||||
code | 0..* | CodeableConcept | Manifestation/symptom Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.category | preferred | ConditionCategoryCodesAUExtended |
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | preferred | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Condition.evidence.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 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 | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who has the condition? |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | preferred | ConditionCategoryCodesAUExtended |
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | preferred | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context | ||||
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 | ?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!ΣC | 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 | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |||||
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who has the condition? | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | C | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | 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 | 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 | preferred | ConditionCategoryCodesAUExtended | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
Condition.bodySite | preferred | 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 |
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context | |
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |
code | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) | |
bodySite | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | |
evidence | ||||
code | 0..* | CodeableConcept | Manifestation/symptom Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.category | preferred | ConditionCategoryCodesAUExtended |
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | preferred | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Condition.evidence.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 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 | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who has the condition? |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | preferred | ConditionCategoryCodesAUExtended |
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 |
Condition.bodySite | preferred | https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | A condition, problem or diagnosis statement in an Australian healthcare context | ||||
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 | ?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!ΣC | 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 | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes - AU Extended (preferred) | |||||
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred) | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who has the condition? | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | C | 0..1 | When in resolution/remission | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | 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 | 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 | preferred | ConditionCategoryCodesAUExtended | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | preferred | https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
Condition.bodySite | preferred | 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 |
Other representations of profile: CSV, Excel, Schematron
none defined