HL7® Serious Med FHIR® Core Implementation Guide
1.0.0 - ci-build
HL7® Serious Med FHIR® Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://whcater.github.io/serious-med-ig/StructureDefinition/sm-condition | Version: 1.0.0 | |||
| Draft as of 2024-11-11 | Computable Name: SmCondition | |||
病情、问题或诊断
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
0..* | Condition | 有关病情、问题或诊断的详细信息 | |
![]() ![]() |
0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 | |
![]() ![]() |
0..* | Extension | 扩展字段 | |
![]() ![]() |
0..* | Identifier | 此病情、问题或诊断的外部识别码 | |
![]() ![]() |
S | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) |
![]() ![]() |
S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) |
![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 | |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) |
![]() ![]() ![]() |
0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this | |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) |
![]() ![]() |
S | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) |
![]() ![]() |
S | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? |
![]() ![]() |
0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 | |
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 |
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | 何时解决/缓解 |
![]() ![]() |
0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 | |
![]() ![]() |
S | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 |
![]() ![]() |
0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 | |
![]() ![]() ![]() |
0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() ![]() |
0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 | |
![]() ![]() ![]() |
0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() |
0..* | BackboneElement | 支持的证据 | |
![]() ![]() ![]() |
0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() ![]() |
0..* | Reference(Resource) | 在其他地方找到的支持信息 | |
![]() ![]() |
S | 0..* | Annotation | 关于此Condition的附加信息 |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | |
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | |
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | |
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Condition | 有关病情、问题或诊断的详细信息 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
![]() ![]() |
Σ | 0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
0..* | Extension | 扩展字段 | |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 0..* | Identifier | 此病情、问题或诊断的外部识别码 |
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) |
![]() ![]() |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) |
![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) |
![]() ![]() ![]() |
Σ | 0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) |
![]() ![]() |
SΣ | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) |
![]() ![]() |
SΣ | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? |
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 |
![]() ![]() |
SΣ | 0..1 | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
SC | 0..1 | 何时解决/缓解 | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
Σ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 |
![]() ![]() |
SΣ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 |
![]() ![]() |
C | 0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 |
![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 |
![]() ![]() ![]() |
0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() |
C | 0..* | BackboneElement | 支持的证据 con-2: evidence SHALL have code or details |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 |
![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持信息 |
![]() ![]() |
S | 0..* | Annotation | 关于此Condition的附加信息 |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | |
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | |
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | |
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom 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() |
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Condition | 有关病情、问题或诊断的详细信息 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
![]() ![]() |
Σ | 0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 | ||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Extension | 扩展字段 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | 此病情、问题或诊断的外部识别码 | ||||
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) | ||||
![]() ![]() |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) | ||||
![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) | ||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
Σ | 0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) | ||||
![]() ![]() |
SΣ | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? | ||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 | ||||
![]() ![]() |
SΣ | 0..1 | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
SC | 0..1 | 何时解决/缓解 | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
![]() ![]() |
Σ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 | ||||
![]() ![]() |
SΣ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 | ||||
![]() ![]() |
C | 0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 con-1: Stage SHALL have summary or assessment | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | ||||
![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |||||
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C | 0..* | BackboneElement | 支持的证据 con-2: evidence SHALL have code or details | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | ||||
![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持信息 | ||||
![]() ![]() |
S | 0..* | Annotation | 关于此Condition的附加信息 | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | ||||
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | ||||
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom 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() |
This structure is derived from Condition
Summary
Mandatory: 1 element
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
0..* | Condition | 有关病情、问题或诊断的详细信息 | |
![]() ![]() |
0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 | |
![]() ![]() |
0..* | Extension | 扩展字段 | |
![]() ![]() |
0..* | Identifier | 此病情、问题或诊断的外部识别码 | |
![]() ![]() |
S | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) |
![]() ![]() |
S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) |
![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 | |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) |
![]() ![]() ![]() |
0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this | |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) |
![]() ![]() |
S | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) |
![]() ![]() |
S | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? |
![]() ![]() |
0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 | |
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 |
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | 何时解决/缓解 |
![]() ![]() |
0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 | |
![]() ![]() |
S | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 |
![]() ![]() |
0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 | |
![]() ![]() ![]() |
0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() ![]() |
0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 | |
![]() ![]() ![]() |
0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() |
0..* | BackboneElement | 支持的证据 | |
![]() ![]() ![]() |
0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() ![]() |
0..* | Reference(Resource) | 在其他地方找到的支持信息 | |
![]() ![]() |
S | 0..* | Annotation | 关于此Condition的附加信息 |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | |
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | |
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | |
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Condition | 有关病情、问题或诊断的详细信息 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
![]() ![]() |
Σ | 0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
0..* | Extension | 扩展字段 | |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
Σ | 0..* | Identifier | 此病情、问题或诊断的外部识别码 |
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) |
![]() ![]() |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) |
![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |
![]() ![]() |
S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) |
![]() ![]() ![]() |
Σ | 0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) |
![]() ![]() |
SΣ | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) |
![]() ![]() |
SΣ | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? |
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 |
![]() ![]() |
SΣ | 0..1 | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
SC | 0..1 | 何时解决/缓解 | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
Σ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 |
![]() ![]() |
SΣ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 |
![]() ![]() |
C | 0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 |
![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 |
![]() ![]() ![]() |
0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |
![]() ![]() |
C | 0..* | BackboneElement | 支持的证据 con-2: evidence SHALL have code or details |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 |
![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持信息 |
![]() ![]() |
S | 0..* | Annotation | 关于此Condition的附加信息 |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | |
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | |
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | |
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | |
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Condition | 有关病情、问题或诊断的详细信息 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
![]() ![]() |
Σ | 0..1 | id | 不重复的ID用以识别储存在特定FHIR Server中的Condition纪录,通常又称为逻辑性ID。 | ||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Extension | 扩展字段 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | 此病情、问题或诊断的外部识别码 | ||||
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved ,病情、问题或诊断的临床状态。 Binding: ConditionClinicalStatusCodes (required) | ||||
![]() ![]() |
?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒绝病情、问题或诊断的临床状态的验证状态。 Binding: ConditionVerificationStatus (required) | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis ,指定病情、问题或诊断的类别。 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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S | 0..1 | CodeableConcept | 病情、问题或诊断的主观严重程度 Binding: Condition/DiagnosisSeverity (extensible) | ||||
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SΣ | 0..1 | CodeableConcept | 病情、问题或诊断的识别 Binding: Condition/Problem/DiagnosisCodes (example) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | 由专门术语系统(terminology system)定义的代码。此资料项目为可扩充绑定预设国际标准值集,但实作者可视实务专案需求只绑定以下slices中的任一值集。目前未只限定绑定预设值集是因为尚无slice值集与预设国际标准值集的代码对应表,待后续有相对的代码对应表后将建议采用国际标准值集作为唯一绑定值集并针对该值集进行扩充与管理,以利进行跨国与跨系统之资料交换。 Slice: Unordered, Open by pattern:$this | ||||
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SΣ | 0..1 | Coding | 不存在的问题或未知问题的代码 Binding: Absent or Unknown Problems - IPS (required): 应填入所绑定值集中的其中一个代码。 | ||||
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SΣ | 0..1 | Coding | 此为SNOMED CT诊断代码,若机构已有购买相关授权,亦可使用。 Binding: ValueSet-SNOMED CT诊断代码值集 (required) | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 0..* | CodeableConcept | 如果相关请填写解剖位置 Binding: SNOMEDCTBodyStructures (extensible) | ||||
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SΣ | 1..1 | Reference(SmPatient | Group) | 谁有此病情、问题或诊断? | ||||
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Σ | 0..1 | Reference(Encounter) | 作为病情、问题或诊断纪录的一部分的就医(Encounter)纪录 | ||||
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SΣ | 0..1 | 估计的或实际的日期、日期—时间或年龄。医师认为此病情、问题或诊断之推估或实际发生时间或日期时间等 | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SC | 0..1 | 何时解决/缓解 | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 谁记录此病情、问题或诊断 | ||||
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SΣ | 0..1 | Reference(SmPractitioner | SmPractitionerRole | SmPatient | RelatedPerson) | 声称有此病情、问题或诊断的人 | ||||
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C | 0..* | BackboneElement | 分期(stage)/分级(grade),通常是正式的评估。 con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | 简单的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、问题或诊断分期的代码(例如:癌症分期)。应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的评估记录 | ||||
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0..1 | CodeableConcept | 分期的种类 Binding: ConditionStageType (extensible): 病情、问题或诊断分期种类的代码(如临床或病理);应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | |||||
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C | 0..* | BackboneElement | 支持的证据 con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | 表现/症状 Binding: ManifestationAndSymptomCodes (extensible): 病情、问题或诊断的表现或症状之代码;应填入所绑定值集中适合的代码,确定无适合的代码才可以使用其他值集的代码来表示。 | ||||
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ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持信息 | ||||
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S | 0..* | Annotation | 关于此Condition的附加信息 | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1from the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1from the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | extensible | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | ||||
| Condition.code.coding:sct | required | ConditionCodeSCThttps://whcater.github.io/serious-med-ig/ValueSet/condition-code-sctfrom this IG | ||||
| Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom 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() |
This structure is derived from Condition
Summary
Mandatory: 1 element
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron