Implementation Guide CH VACD
4.0.1 - trial-use Switzerland flag

This page is part of the CH VACD (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH VACD Past Illness

Official URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-pastillnesses Version: 4.0.1
Draft as of 2023-12-28 Computable Name: CHVACDPastIllness

Copyright/Legal: CC0-1.0

Definition of the past illness part for all documents, except recommendation request and response documents.

Duplicate Conflict

By aggregation of different Immunization Administration documents, dupplicates could be detected. If so, the entries in the Vaccination Record document (as result of the aggregation) should be completed with the extension CH VACD Extension Merging Conflict Entry Reference. The criterias of duplicate detection can be found here.

Usage:

Formal Views of Profile Content

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

This structure is derived from CHVACDCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*CHVACDConditionCH VACD Past Illness Conditions
... clinicalStatus 1..1CodeableConceptResolved
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus S0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0
... code 1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... Slices for onset[x] 1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] S0..1dateTime, Age, Period, Range, stringWhen in resolution/remission
... evidence
.... code S0..*CodeableConceptManifestation/symptom
... note S0..*AnnotationAdditional information about the Condition
.... author[x] S0..1Reference(Practitioner | Patient | RelatedPerson | Organization), stringIndividual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*CHVACDConditionCH VACD Past Illness Conditions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... relatesTo S0..1(Complex)Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
... conflict S0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... identifier Σ1..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC1..1CodeableConceptResolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus ?!SΣC0..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.

... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... subject SΣ1..1Reference(CH Core Patient)Patient
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ1..1dateTimeCondition recordedDate
... recorder SΣ0..1Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the condition
... asserter SΣ0..1Reference(CH Core PractitionerRole)Person who asserts this condition
... evidence C0..*BackboneElementSupporting evidence
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


... note S0..*AnnotationAdditional information about the Condition
.... author[x] SΣ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... text Σ1..1markdownThe annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredPattern: resolved
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*CHVACDConditionCH VACD Past Illness Conditions
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatesTo S0..1(Complex)Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
... conflict S0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC1..1CodeableConceptResolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... verificationStatus ?!SΣC0..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.

... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(CH Core Patient)Patient
... encounter Σ0..1Reference(CH Core Encounter)Encounter created as part of
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ1..1dateTimeCondition recordedDate
... recorder SΣ0..1Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the condition
... asserter SΣ0..1Reference(CH Core PractitionerRole)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 SΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note S0..*AnnotationAdditional information about the Condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] SΣ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdownThe annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredPattern: resolved
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHVACDCondition

Summary

Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of type:$this

Differential View

This structure is derived from CHVACDCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*CHVACDConditionCH VACD Past Illness Conditions
... clinicalStatus 1..1CodeableConceptResolved
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus S0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0
... code 1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... Slices for onset[x] 1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] S0..1dateTime, Age, Period, Range, stringWhen in resolution/remission
... evidence
.... code S0..*CodeableConceptManifestation/symptom
... note S0..*AnnotationAdditional information about the Condition
.... author[x] S0..1Reference(Practitioner | Patient | RelatedPerson | Organization), stringIndividual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*CHVACDConditionCH VACD Past Illness Conditions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... relatesTo S0..1(Complex)Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
... conflict S0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... identifier Σ1..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC1..1CodeableConceptResolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus ?!SΣC0..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.

... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... subject SΣ1..1Reference(CH Core Patient)Patient
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ1..1dateTimeCondition recordedDate
... recorder SΣ0..1Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the condition
... asserter SΣ0..1Reference(CH Core PractitionerRole)Person who asserts this condition
... evidence C0..*BackboneElementSupporting evidence
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


... note S0..*AnnotationAdditional information about the Condition
.... author[x] SΣ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... text Σ1..1markdownThe annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredPattern: resolved
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*CHVACDConditionCH VACD Past Illness Conditions
... 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatesTo S0..1(Complex)Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
... conflict S0..*(Complex)Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC1..1CodeableConceptResolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: resolved
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... verificationStatus ?!SΣC0..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.

... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptPast illness code
Binding: Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(CH Core Patient)Patient
... encounter Σ0..1Reference(CH Core Encounter)Encounter created as part of
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeCondition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ1..1dateTimeCondition recordedDate
... recorder SΣ0..1Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)Who recorded the condition
... asserter SΣ0..1Reference(CH Core PractitionerRole)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 SΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note S0..*AnnotationAdditional information about the Condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] SΣ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdownThe annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredPattern: resolved
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensibleTargetDiseasesAndIllnessesUndergoneForImmunization
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CHVACDCondition

Summary

Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of type:$this

 

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