Implementation Guide CH VACD
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH VACD (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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: 5.0.0-ballot
Draft as of 2024-05-17 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..* CHVACDCondition CH VACD Past Illness Conditions
... clinicalStatus 1..1 CodeableConcept Resolved
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0
... code 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... Slices for onset[x] 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
... evidence
.... code S 0..* CodeableConcept Manifestation/symptom
... note S 0..* Annotation Additional information about the Condition
.... author[x] S 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* CHVACDCondition CH VACD Past Illness Conditions
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... relatesTo S 0..1 (Complex) Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
.... conflict S 0..* (Complex) Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus ?!SΣC 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.

... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... subject SΣ 1..1 Reference(CH Core Patient) Patient
... Slices for onset[x] Σ 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Condition recordedDate
... recorder SΣ 0..1 Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(CH Core PractitionerRole) Person who asserts this condition
... evidence C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


... note S 0..* Annotation Additional information about the Condition
.... author[x] SΣ 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Condition.clinicalStatusrequiredPattern: resolved
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.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

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 C 0..* CHVACDCondition CH VACD Past Illness Conditions
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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... relatesTo S 0..1 (Complex) Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
.... conflict S 0..* (Complex) Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept Resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 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.

... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ 1..1 Reference(CH Core Patient) Patient
... encounter Σ 0..1 Reference(CH Core Encounter) Encounter created as part of
... Slices for onset[x] Σ 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Condition recordedDate
... recorder SΣ 0..1 Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(CH Core PractitionerRole) 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 SΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Additional information about the Condition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] SΣ 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredPattern: resolved
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.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
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.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

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 1 is sliced based on the value of Condition.onset[x]

Differential View

This structure is derived from CHVACDCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* CHVACDCondition CH VACD Past Illness Conditions
... clinicalStatus 1..1 CodeableConcept Resolved
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0
... code 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... Slices for onset[x] 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
... evidence
.... code S 0..* CodeableConcept Manifestation/symptom
... note S 0..* Annotation Additional information about the Condition
.... author[x] S 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* CHVACDCondition CH VACD Past Illness Conditions
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... relatesTo S 0..1 (Complex) Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
.... conflict S 0..* (Complex) Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
... verificationStatus ?!SΣC 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.

... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... subject SΣ 1..1 Reference(CH Core Patient) Patient
... Slices for onset[x] Σ 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Condition recordedDate
... recorder SΣ 0..1 Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(CH Core PractitionerRole) Person who asserts this condition
... evidence C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


... note S 0..* Annotation Additional information about the Condition
.... author[x] SΣ 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Condition.clinicalStatusrequiredPattern: resolved
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.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

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 C 0..* CHVACDCondition CH VACD Past Illness Conditions
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
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... relatesTo S 0..1 (Complex) Entry Resource Cross References
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
.... conflict S 0..* (Complex) Reference to related resource
URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept Resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: resolved
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 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.

... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ 1..1 CodeableConcept Past illness code
Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ 1..1 Reference(CH Core Patient) Patient
... encounter Σ 0..1 Reference(CH Core Encounter) Encounter created as part of
... Slices for onset[x] Σ 1..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Condition onset DateTime to declare the disorder/illness hat taken place.
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Condition recordedDate
... recorder SΣ 0..1 Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(CH Core PractitionerRole) 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 SΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Additional information about the Condition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] SΣ 0..1 Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization) Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredPattern: resolved
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.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleChVacdTargetDiseasesAndIllnessesUndergoneForImmunization
http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
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.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

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 1 is sliced based on the value of Condition.onset[x]

 

Other representations of profile: CSV, Excel, Schematron