FHIR Implementatiegids voor de Nederlandse Kankerregistratie
1.2.2 - release
FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.2.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-condition | Version: 1.2.2 | |||
Draft as of 2025-02-10 | Computable Name: NcrEhrCondition |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | NlcoreProblem | Problem dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 and category is problem-list-item |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | VerificationStatus Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣN | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() |
ΣN | 1..1 | Coding | Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
N | 0..1 | CodeableConcept | ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
N | 0..1 | string | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.org/fhir/sid/icd-10-nl |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() |
SΣC | 1..1 | Reference(NcrEhrPatient) | Who has the condition? ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided |
![]() ![]() ![]() |
ΣN | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
ΣN | 0..1 | dateTime | ProblemStartDate ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
CN | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
CN | 0..1 | dateTime | ProblemEndDate ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
0..1 | Annotation | Additional information about the Condition ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
Σ | 1..1 | markdown | Comment ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet / Code | URI |
Condition.clinicalStatus | required | Pattern: activehttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.verificationStatus.coding:verificationStatusCodelist | required | VerificatieStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000 | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:problemType | required | ProbleemTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000 | |
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.code | required | ProbleemNaamCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000 | |
Condition.bodySite | required | LocatieCodelijstenhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ref-1 | error | Condition.subject | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from NlcoreProblem
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | NlcoreProblem | Problem | |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | ProblemStatus Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | ProblemName |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-nl | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element |
![]() ![]() ![]() |
S | 1..1 | Reference(NcrEhrPatient) | Who has the condition? |
![]() ![]() ![]() |
S | 1..1 | dateTime | Date record was first recorded |
![]() |
Path | Conformance | ValueSet | URI |
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | NlcoreProblem | Problem con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 and category is problem-list-item | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | External Ids for this condition | ||||
![]() ![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | VerificationStatus Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
ΣN | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
![]() ![]() ![]() ![]() ![]() |
ΣN | 1..1 | Coding | Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
![]() ![]() ![]() ![]() |
N | 0..1 | CodeableConcept | ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition. | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) | ||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() ![]() |
N | 0..1 | string | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName | ||||
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-nl | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
SΣC | 1..1 | Reference(NcrEhrPatient) | Who has the condition? ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Encounter) | Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣN | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
ΣN | 0..1 | dateTime | ProblemStartDate | ||||
![]() ![]() ![]() |
CN | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
CN | 0..1 | dateTime | ProblemEndDate | ||||
![]() ![]() ![]() |
SΣ | 1..1 | dateTime | Date record was first recorded | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
0..1 | Annotation | Additional information about the Condition | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Individual responsible for the annotation | |||||
![]() ![]() ![]() ![]() ![]() |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | When the annotation was made | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | markdown | Comment | ||||
![]() |
Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | Pattern: activehttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus.coding:verificationStatusCodelist | required | VerificatieStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000 | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:problemType | required | ProbleemTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000 | ||||
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | required | ProbleemNaamCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000 | ||||
Condition.bodySite | required | LocatieCodelijstenhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
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() | |
ref-1 | error | Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.evidence.detail | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from NlcoreProblem
Summary
Mandatory: 9 elements
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | NlcoreProblem | Problem dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 and category is problem-list-item |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | VerificationStatus Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣN | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() |
ΣN | 1..1 | Coding | Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
N | 0..1 | CodeableConcept | ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
N | 0..1 | string | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.org/fhir/sid/icd-10-nl |
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
![]() ![]() ![]() |
SΣC | 1..1 | Reference(NcrEhrPatient) | Who has the condition? ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided |
![]() ![]() ![]() |
ΣN | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
ΣN | 0..1 | dateTime | ProblemStartDate ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
CN | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
CN | 0..1 | dateTime | ProblemEndDate ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
0..1 | Annotation | Additional information about the Condition ele-1: All FHIR elements must have a @value or children | |
![]() ![]() ![]() ![]() |
Σ | 1..1 | markdown | Comment ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet / Code | URI |
Condition.clinicalStatus | required | Pattern: activehttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.verificationStatus.coding:verificationStatusCodelist | required | VerificatieStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000 | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:problemType | required | ProbleemTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000 | |
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.code | required | ProbleemNaamCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000 | |
Condition.bodySite | required | LocatieCodelijstenhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 |
Id | Grade | Path(s) | Details | Requirements |
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() | |
ref-1 | error | Condition.subject | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
Differential View
This structure is derived from NlcoreProblem
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | NlcoreProblem | Problem | |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | ProblemStatus Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) |
![]() ![]() ![]() |
S | 1..1 | CodeableConcept | ProblemName |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-nl | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element |
![]() ![]() ![]() |
S | 1..1 | Reference(NcrEhrPatient) | Who has the condition? |
![]() ![]() ![]() |
S | 1..1 | dateTime | Date record was first recorded |
![]() |
Path | Conformance | ValueSet | URI |
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | NlcoreProblem | Problem con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 and category is problem-list-item | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | External Ids for this condition | ||||
![]() ![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: active | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | VerificationStatus Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
ΣN | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
![]() ![]() ![]() ![]() ![]() |
ΣN | 1..1 | Coding | Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
1..* | CodeableConcept | problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
![]() ![]() ![]() ![]() |
N | 0..1 | CodeableConcept | ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition. | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) | ||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() ![]() |
N | 0..1 | string | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName | ||||
![]() ![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-nl | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
SΣC | 1..1 | Reference(NcrEhrPatient) | Who has the condition? ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Encounter) | Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣN | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
ΣN | 0..1 | dateTime | ProblemStartDate | ||||
![]() ![]() ![]() |
CN | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
CN | 0..1 | dateTime | ProblemEndDate | ||||
![]() ![]() ![]() |
SΣ | 1..1 | dateTime | Date record was first recorded | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
ΣC | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere ref-1: SHALL have a contained resource if a local reference is provided | ||||
![]() ![]() ![]() |
0..1 | Annotation | Additional information about the Condition | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Individual responsible for the annotation | |||||
![]() ![]() ![]() ![]() ![]() |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | When the annotation was made | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | markdown | Comment | ||||
![]() |
Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | Pattern: activehttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus.coding:verificationStatusCodelist | required | VerificatieStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000 | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:problemType | required | ProbleemTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000 | ||||
Condition.category:ncr-ehr-category | required | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | required | ProbleemNaamCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000 | ||||
Condition.bodySite | required | LocatieCodelijstenhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
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() | |
ref-1 | error | Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.evidence.detail | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from NlcoreProblem
Summary
Mandatory: 9 elements
Must-Support: 6 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron