AU Patient Summary Implementation Guide
0.1.0-preview - Preview
This page is part of the AU Patient Summary (v0.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition | Version: 0.1.0-preview | |||
| Standards status: Draft | Maturity Level: 0 | Computable Name: AUPSCondition | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
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This profile sets minimum expectations for a Condition resource in the context of a patient summary in an Australian context. It is based on the AU Base Condition profile, and applies the constraints of AU Core Condition and Condition (IPS).
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseCondition
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition | |
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S | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved |
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S | 0..1 | CodeableConceptIPS | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
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S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis |
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
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S | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) |
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C | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT |
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S | 1..1 | Reference(AU PS Patient) | Who has the condition? |
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S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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S | 0..1 | Estimated or actual date, date-time, or age | |
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dateTime S | |||
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Age | |||
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Period | |||
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Range | |||
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S | 0..1 | When in resolution/remission | |
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dateTime | |||
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Age | |||
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Period | |||
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Range | |||
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S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | |
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() |
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?!SΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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?!SΣC | 0..1 | CodeableConceptIPS | 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. ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)ele-1: All FHIR elements must have a @value or children au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT |
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SΣ | 1..1 | Reference(AU PS Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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SC | 0..1 | When in resolution/remission ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
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Age | |||
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Period | |||
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Range | |||
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S | 0..* | Annotation | Additional information about the Condition ele-1: All FHIR elements must have a @value or children |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | |
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| con-3 | best practice | Condition | 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() | |
| con-4 | error | Condition | 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-5 | error | Condition | 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() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | 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-4 | error | Condition | 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!SΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
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?!SΣC | 0..1 | CodeableConceptIPS | 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. | ||||
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S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) | ||||
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SΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) | ||||
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ΣC | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT | ||||
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SΣ | 1..1 | Reference(AU PS Patient) | Who has the condition? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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SC | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: Clinical Finding (preferred) | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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S | 0..* | Annotation | Additional information about the Condition | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | preferred | ClinicalFinding ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | 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() | |
| con-4 | error | Condition | 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-5 | error | Condition | 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() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | 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-4 | error | Condition | 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AUBaseCondition
Summary
Mandatory: 3 elements
Must-Support: 10 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![]() |
|---|---|---|---|---|
![]() |
0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition | |
![]() ![]() |
S | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved |
![]() ![]() |
S | 0..1 | CodeableConceptIPS | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error |
![]() ![]() |
S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis |
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) |
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S | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) |
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C | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT |
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S | 1..1 | Reference(AU PS Patient) | Who has the condition? |
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S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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S | 0..1 | Estimated or actual date, date-time, or age | |
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dateTime S | |||
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Age | |||
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Period | |||
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Range | |||
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S | 0..1 | When in resolution/remission | |
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dateTime | |||
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Age | |||
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Period | |||
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Range | |||
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S | 0..* | Annotation | Additional information about the Condition |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | |
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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?!SΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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?!SΣC | 0..1 | CodeableConceptIPS | 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. ele-1: All FHIR elements must have a @value or children |
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S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)ele-1: All FHIR elements must have a @value or children au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT |
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SΣ | 1..1 | Reference(AU PS Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() |
dateTime | |||
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SC | 0..1 | When in resolution/remission ele-1: All FHIR elements must have a @value or children | |
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dateTime | |||
![]() ![]() ![]() |
Age | |||
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Period | |||
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Range | |||
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S | 0..* | Annotation | Additional information about the Condition ele-1: All FHIR elements must have a @value or children |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | |
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| con-3 | best practice | Condition | 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() | |
| con-4 | error | Condition | 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-5 | error | Condition | 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() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | 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-4 | error | Condition | 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context This profile also complies with the profiles Condition (IPS) and AU Core Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!SΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
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?!SΣC | 0..1 | CodeableConceptIPS | 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. | ||||
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S | 1..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) | ||||
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SΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) | ||||
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ΣC | 0..* | CodeableConceptIPS | Anatomical location, if relevant Binding: Body Site (extensible)au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT | ||||
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SΣ | 1..1 | Reference(AU PS Patient) | Who has the condition? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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SC | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: Clinical Finding (preferred) | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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S | 0..* | Annotation | Additional information about the Condition | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | extensible | ClinicalCondition ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 | ||||
| Condition.bodySite | extensible | BodySite ![]() https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | preferred | ClinicalFinding ![]() https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 |
| Id | Grade | Path(s) | Details | Requirements |
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | 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() | |
| con-4 | error | Condition | 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-5 | error | Condition | 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() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | 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-4 | error | Condition | 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-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from AUBaseCondition
Summary
Mandatory: 3 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron