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

Resource Profile: AU Base Condition

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:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionA condition, problem or diagnosis statement in an Australian healthcare context
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes - AU Extended (preferred)
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
... subject Σ1..1Reference(Patient | Group)Who has the condition?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredConditionCategoryCodesAUExtended
Condition.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/body-site-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionA condition, problem or diagnosis statement in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | 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..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes - AU Extended (preferred)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
... subject Σ1..1Reference(Patient | Group)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredConditionCategoryCodesAUExtended
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

This structure is derived from Condition

Summary

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionA condition, problem or diagnosis statement in an Australian healthcare context
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes - AU Extended (preferred)
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
... subject Σ1..1Reference(Patient | Group)Who has the condition?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredConditionCategoryCodesAUExtended
Condition.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/body-site-1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionA condition, problem or diagnosis statement in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | 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..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes - AU Extended (preferred)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 (preferred)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred)
... subject Σ1..1Reference(Patient | Group)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred)
.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredConditionCategoryCodesAUExtended
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySitepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codepreferredhttps://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

This structure is derived from Condition

Summary

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron

Notes:

none defined