Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | ITU | DomainResource | Detailed information about conditions, problems or diagnoses + Guideline: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item + Rule: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission + Rule: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error Элементы, определённые в родительском элементе: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
identifier | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!ΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Condition Clinical Status Codes (Required) |
verificationStatus | ?!ΣI | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ConditionVerificationStatus (Required) |
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Condition Category Codes (Extensible) | |
severity | 0..1 | CodeableConcept | Subjective severity of condition Condition/Diagnosis Severity (Preferred) | |
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Condition/Problem/Diagnosis Codes (Example) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant SNOMED CT Body Structures (Example) |
subject | Σ | 1..1 | Reference(Patient | Group) | 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] | I | 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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition |
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition |
stage | I | 0..* | BackboneElement | Stage/grade, usually assessed formally + Rule: Stage SHALL have summary or assessment |
summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Condition Stage (Example) |
assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment |
type | 0..1 | CodeableConcept | Kind of staging Condition Stage Type (Example) | |
evidence | I | 0..* | BackboneElement | Supporting evidence + Rule: evidence SHALL have code or details |
code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Manifestation and Symptom Codes (Example) |
detail | ΣI | 0..* | Reference(Any) | Supporting information found elsewhere |
note | 0..* | Annotation | Additional information about the Condition | |
Documentation for this format |