My Health Record FHIR IG
1.2.0 - active Australia flag

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ADHA Core Condition

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1 Version: 1.2.0
Active as of 2024-09-19 Computable Name: ADHAConditionCore

Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a core representation of a condition for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile supports a statement of a condition, problem, or diagnosis including asserting negation for specific conditions or problems.

This profile identifies the additional constraints, extensions, and value sets that build on and extend Condition that are supported.

This profile is designed to set a core Condition standard for:

  • Query for a patient's conditions
  • Record or update a condition belonging to a patient

Profile specific guidance

  • 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.
  • An active condition is represented using "active" in Condition.clinicalStatus.
  • To represent that a patient does not have a condition or history of condition, an appropriate negation code is used in Condition.code.
  • Refutation is not expected to be handled except as above - an appropriate negation code in Condition.code and Condition.verificationStatus of "confirmed" or "unconfirmed".

Usage:

Formal Views of Profile Content

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

This structure is derived from AUCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
... subject SC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
... encounter S 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... recorder SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
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
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: 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 ?!SOΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... category SO 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... severity SO 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... code SOΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... subject SOΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SOC 0..1 When in resolution/remission
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note SO 0..* Annotation Additional information about the Condition
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
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
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: 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
... 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 ?!SOΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... verificationStatus ?!SOΣC 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.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... category SO 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... severity SO 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... code SOΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SOΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SOC 0..1 When in resolution/remission
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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: Clinical Finding . (preferred)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note SO 0..* Annotation Additional information about the Condition
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codepreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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()

Differential View

This structure is derived from AUCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
... subject SC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
... encounter S 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... recorder SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
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
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: 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 ?!SOΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... category SO 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... severity SO 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... code SOΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... subject SOΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SOC 0..1 When in resolution/remission
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... note SO 0..* Annotation Additional information about the Condition
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* AUCoreCondition A condition, problem or diagnosis statement in an Australian healthcare context
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
inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display
inv-dh-cond-04: 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
... 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 ?!SOΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... verificationStatus ?!SOΣC 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.

ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... category SO 1..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... severity SO 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... code SOΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Clinical Condition . (extensible)
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: Body Site . (extensible)
au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
... subject SOΣC 1..1 Reference(ADHA Core Patient) Who has the condition?
inv-dh-cond-02: At least reference or a valid identifier shall be present
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
... encounter SΣ 0..1 Reference(ADHA Core Encounter) Encounter created as part of
... onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
... abatement[x] SOC 0..1 When in resolution/remission
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Who recorded the condition
inv-dh-cond-03: At least reference or display or a valid identifier shall be present
... asserter SΣC 0..1 Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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: Clinical Finding . (preferred)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note SO 0..* Annotation Additional information about the Condition
ObligationsActor
SHALL:populate-if-known http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleClinicalCondition .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1
Condition.bodySiteextensibleBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codepreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-cond-01errorConditionIf present, an asserter shall at least have a reference, an identifier or a display
: asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02errorCondition.subjectAt least reference or a valid identifier shall be present
: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-03errorCondition.recorderAt least reference or display or a valid identifier shall be present
: reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04errorConditionClinical 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()

 

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