Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM Pregnancy

A Condition resource as defined by the Dutch HCIM Pregnancy v3.1(2017EN).

Pregnancy or gravidity is the condition in which a woman carries a fertilized egg, which grows into an embryo and then a fetus. A pregnancy of between 37 and 42 weeks is considered normal. ‘Term pregnancy’ is 37 to 42 weeks. The term gravidity is also used for the number of times a woman has been pregnant. This and parity - the number of times a woman has given birth - provides insight into the patient’s obstetric history.

Purpose of HCIM

If the patient is pregnant, it is important to mention this, as it requires specific attention in their care. Pregnancy can influence treatment decisions, the treatment itself and the patient’s care.

Purpose of this profile

This profile specializes the Problem HCIM profile (FHIR Condition) to track the overarching parts of the Pregnancy HCIM. It is complemented by four Observation profiles for the observable/momentary parts of the HCIM: zib-Pregnancy-PregnancyStatus, zib-Pregnancy-TermDate, zib-Pregnancy-DateLastMenstruation and zib-Pregnancy-PregnancyDuration

Usage:

• Refer to this Resource Profile: HCIM Pregnancy DateLastMenstruation, HCIM Pregnancy Gravidity, HCIM Pregnancy Parity, HCIM Pregnancy PregnancyDuration... Show 2 more, HCIM Pregnancy PregnancyStatus and HCIM Pregnancy TermDate
• Examples for this Resource Profile: Condition/zib-pregnancy-01

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 Zib Problem

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Zib Problem	Pregnancy
code
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display		0..1	string	Representation defined by the system
note		0..1	Annotation	Comment
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Pregnancy con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
code	Σ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (extensible): The problem name defines the problem.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
Slices for onset[x]	Σ	0..1	Period	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
note		0..1	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000 from this IG
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000 from this IG
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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..*	Zib Problem	Pregnancy con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): 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
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
value		0..1	code	Primitive value for code
category		0..*	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (extensible): The type of problem.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (extensible): The problem name defines the problem.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	ProblemAnatomicalLocation Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	ProblemLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or episode when condition first asserted
Slices for onset[x]	Σ	0..1	Period	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProblemStartDate
end	ΣC	0..1	dateTime	ProblemEndDate
abatement[x]	C	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner)	Person who asserts this condition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..1	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000 from this IG
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000 from this IG
Condition.category	extensible	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000 from this IG
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	ProbleemAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	ProbleemLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000 from this IG
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.evidence.code	example	Manifestation and Symptom Codes 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	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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 Zib Problem

Summary

Mandatory: 4 elements
Fixed: 2 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Differential View

This structure is derived from Zib Problem

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Zib Problem	Pregnancy
code
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display		0..1	string	Representation defined by the system
note		0..1	Annotation	Comment
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Pregnancy con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
code	Σ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (extensible): The problem name defines the problem.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display	Σ	0..1	string	Representation defined by the system
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
Slices for onset[x]	Σ	0..1	Period	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
note		0..1	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000 from this IG
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000 from this IG
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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..*	Zib Problem	Pregnancy con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): 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
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
value		0..1	code	Primitive value for code
category		0..*	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (extensible): The type of problem.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (extensible): The problem name defines the problem.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:PregnancyObservable	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 364320009
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	ProblemAnatomicalLocation Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	ProblemLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or episode when condition first asserted
Slices for onset[x]	Σ	0..1	Period	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProblemStartDate
end	ΣC	0..1	dateTime	ProblemEndDate
abatement[x]	C	0..1		If/when in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementBoolean			boolean
abatementPeriod			Period
abatementRange			Range
abatementString			string
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner)	Person who asserts this condition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..1	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000 from this IG
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000 from this IG
Condition.category	extensible	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000 from this IG
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20171231000000 from this IG
Condition.bodySite	extensible	ProbleemAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	ProbleemLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000 from this IG
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.evidence.code	example	Manifestation and Symptom Codes 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	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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 Zib Problem

Summary

Mandatory: 4 elements
Fixed: 2 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Other representations of profile: CSV, Excel, Schematron