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 SkinDisorder

A Condition as defined by the Dutch HCIM Zorginformatiebouwsteen HuidAandoening v3.1(2017EN). A skin condition is a disturbance of the organ skin caused by a source to be specified later on.

Information on the skin condition is of importance for determining or continuing the required care. Specific expertise or materials can be facilitated in the event that a patient is transferred. Any underlying medical afflictions causing the skin condition are not described in this concept but are recorded in the problem list.

Usage:

• Examples for this Resource Profile: Condition/zib-skindisorder-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 Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	SkinDisorder
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
valueReference:valueReference		1..1	Reference(HCIM Problem)	Cause
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: 95320005
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: 95320005
display		0..1	string	Representation defined by the system
code		0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
onsetDateTime:onsetDateTime		0..1	dateTime	DateOfOnset
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	SkinDisorder 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
Slices for value[x]		1..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(HCIM Problem)	Cause
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: 95320005
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: 95320005
display	Σ	0..1	string	Representation defined by the system
code	Σ	0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
subject	Σ	1..1	Reference(Patient | Group)	Who has the condition?
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	DateOfOnset
note		0..*	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.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--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..*	Condition	SkinDisorder 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
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://hl7.org/fhir/StructureDefinition/condition-dueTo"
Slices for value[x]		1..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(HCIM Problem)	Cause
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 95320005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: 95320005
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
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	0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
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)	Extension 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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group)	Who has the condition?
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode when condition first asserted
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	DateOfOnset
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(Practitioner | Patient | RelatedPerson)	Person who asserts this condition
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..*	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.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--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 Condition

Summary

Mandatory: 5 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-dueTo
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	SkinDisorder
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
valueReference:valueReference		1..1	Reference(HCIM Problem)	Cause
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: 95320005
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: 95320005
display		0..1	string	Representation defined by the system
code		0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite		0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
onsetDateTime:onsetDateTime		0..1	dateTime	DateOfOnset
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	SkinDisorder 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
Slices for value[x]		1..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(HCIM Problem)	Cause
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: 95320005
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: 95320005
display	Σ	0..1	string	Representation defined by the system
code	Σ	0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	Extension URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
subject	Σ	1..1	Reference(Patient | Group)	Who has the condition?
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	DateOfOnset
note		0..*	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.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--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..*	Condition	SkinDisorder 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dueTo		0..1	(Complex)	Causes for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
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://hl7.org/fhir/StructureDefinition/condition-dueTo"
Slices for value[x]		1..1	Reference()	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(HCIM Problem)	Cause
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	code	active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	code	provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: Condition Category Codes (example): A category assigned to the condition.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SkinDisorder	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 95320005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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: 95320005
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
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	0..1	CodeableConcept	TypeOfDisorder Binding: SoortAandoeningCodelijst (extensible): SoortAandoeningCodelijst
bodySite	Σ	0..*	CodeableConcept	AnatomicalLocation Binding: HuidAnatomischeLocatieCodelijst (extensible): HuidAnatomischeLocatieCodelijst
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)	Extension 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:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Laterality Binding: HuidLateraliteitCodelijst (extensible): HuidLateraliteitCodelijst
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group)	Who has the condition?
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode when condition first asserted
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	DateOfOnset
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(Practitioner | Patient | RelatedPerson)	Person who asserts this condition
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..*	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.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	example	Condition Category Codes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	SoortAandoeningCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1--20171231000000 from this IG
Condition.bodySite	extensible	HuidAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2--20171231000000 from this IG
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	HuidLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3--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 Condition

Summary

Mandatory: 5 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-dueTo
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron