This page is part of the CH RAD-Order (R4) (v2.0.0-ballot: STU 2 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

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Resource Profile: CH RAD-Order Caveat Condition

Definition for the Caveat Condition resource in the context of CH RAD-Order.

Usage:

• Refer to this Resource Profile: CH RAD-Order ServiceRequest
• Examples for this Resource Profile: Condition/CaveatBloodCoagulation, Condition/CaveatBodyPiercing, Condition/CaveatDeviceCardiacPacemaker, Condition/CaveatDrugPrescriptionMetformin and Condition/CaveatRenalInsufficiency

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	CHCoreCondition	CH RAD-Order Caveat Condition
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
category	S	1..1	CodeableConcept	Problem List Item 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-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
subject	S	1..1	Reference(CH Core Patient)	Who has the condition?
evidence	S	0..*	BackboneElement	Supporting evidence
detail		0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHCoreCondition	CH RAD-Order Caveat Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	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.
category	S	1..1	CodeableConcept	Problem List Item Binding: ConditionCategoryCodes (extensible) Additional Bindings Purpose Condition Category Codes candidate 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-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Who has the condition?
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item Additional Bindings Purpose Documentation Condition Category Codes candidate An alternative additional binding to the value set used in CH eTOC. http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHCoreCondition	CH RAD-Order Caveat Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	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.
category	S	1..1	CodeableConcept	Problem List Item Binding: ConditionCategoryCodes (extensible) Additional Bindings Purpose Condition Category Codes candidate 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-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
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
severity		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	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
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)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | 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	SC	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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item Additional Bindings Purpose Documentation Condition Category Codes candidate An alternative additional binding to the value set used in CH eTOC. http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreCondition

Summary

Mandatory: 4 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH Core Patient (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient)
• CH RAD-Order Creatinine Clearance Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation)
• CH RAD-Order Creatinine Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation)
• CH RAD-Order INR Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation)
• CH RAD-Order Platelets Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type
• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value

Differential View

This structure is derived from CHCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	CHCoreCondition	CH RAD-Order Caveat Condition
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
category	S	1..1	CodeableConcept	Problem List Item 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-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
subject	S	1..1	Reference(CH Core Patient)	Who has the condition?
evidence	S	0..*	BackboneElement	Supporting evidence
detail		0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHCoreCondition	CH RAD-Order Caveat Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	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.
category	S	1..1	CodeableConcept	Problem List Item Binding: ConditionCategoryCodes (extensible) Additional Bindings Purpose Condition Category Codes candidate 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-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Who has the condition?
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item Additional Bindings Purpose Documentation Condition Category Codes candidate An alternative additional binding to the value set used in CH eTOC. http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHCoreCondition	CH RAD-Order Caveat Condition con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
caveatType	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type Binding: Type of Caveat (required)
qualifierValue	S	1..1	Coding	CH RAD-Order Caveat Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value Binding: Qualifier Value (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	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.
category	S	1..1	CodeableConcept	Problem List Item Binding: ConditionCategoryCodes (extensible) Additional Bindings Purpose Condition Category Codes candidate 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-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
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
severity		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	Identification of the condition, problem or diagnosis Binding: Caveat Condition (required)
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)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Patient | 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	SC	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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(CH RAD-Order Creatinine Clearance Observation | CH RAD-Order Creatinine Observation | CH RAD-Order INR Observation | CH RAD-Order Platelets Observation)	Supporting information: for renal insufficiency (creatinine clearance, creatinine) and coagulopathy (INR, platelets)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item Additional Bindings Purpose Documentation Condition Category Codes candidate An alternative additional binding to the value set used in CH eTOC. http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	ChRadOrderCaveatCondition http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-condition from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CHCoreCondition

Summary

Mandatory: 4 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH Core Patient (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient)
• CH RAD-Order Creatinine Clearance Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation)
• CH RAD-Order Creatinine Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation)
• CH RAD-Order INR Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation)
• CH RAD-Order Platelets Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-type
• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-qualifier-value

Other representations of profile: CSV, Excel, Schematron