CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: ACH Monthly Event Condition

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition Version: 1.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingCondition

This profile contains Required and Must Support data elements for reporting patient condition information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core Condition Profile v3.1.1.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, us-core-1, Condition-coding-from-common-codesystems
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SC 1..* CodeableConcept problem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Date record was first recorded

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
Condition.clinicalStatus required ConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatus required ConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.category extensible USCoreConditionCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.code extensible USCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
us-core-1 best practice Condition A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

This structure is derived from USCoreCondition

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: Condition-coding-from-common-codesystems
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
... abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
... recordedDate S 0..1 dateTime Date record was first recorded

doco Documentation for this format

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, us-core-1, Condition-coding-from-common-codesystems
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SC 1..* CodeableConcept problem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 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.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
Condition.meta.security extensible All Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
Condition.meta.tag example CommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
Condition.language preferred CommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatus required ConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatus required ConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.category extensible USCoreConditionCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity preferred Condition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.code extensible USCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySite example SNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Condition.subject.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
Condition.encounter.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
Condition.stage.summary example ConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
From the FHIR Standard
Condition.stage.type example ConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
From the FHIR Standard
Condition.evidence.code example ManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
From the FHIR Standard

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
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()
us-core-1 best practice Condition A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

This structure is derived from USCoreCondition

Summary

Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 6 elements

Extensions

This structure refers to these extensions:

Maturity: 1

Key Elements View

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, us-core-1, Condition-coding-from-common-codesystems
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SC 1..* CodeableConcept problem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Date record was first recorded

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
Condition.clinicalStatus required ConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatus required ConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.category extensible USCoreConditionCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.code extensible USCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
us-core-1 best practice Condition A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

Differential View

This structure is derived from USCoreCondition

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: Condition-coding-from-common-codesystems
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
... abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
... recordedDate S 0..1 dateTime Date record was first recorded

doco Documentation for this format

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()

Snapshot View

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreCondition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, us-core-1, Condition-coding-from-common-codesystems
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SC 1..* CodeableConcept problem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 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.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
Condition.meta.security extensible All Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
Condition.meta.tag example CommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
Condition.language preferred CommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatus required ConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
From the FHIR Standard
Condition.verificationStatus required ConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
From the FHIR Standard
Condition.category extensible USCoreConditionCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity preferred Condition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.code extensible USCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySite example SNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Condition.subject.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
Condition.encounter.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
Condition.stage.summary example ConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
From the FHIR Standard
Condition.stage.type example ConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
From the FHIR Standard
Condition.evidence.code example ManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
From the FHIR Standard

Constraints

Id Grade Path(s) Details Requirements
Condition-coding-from-common-codesystems error Condition Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding
: code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
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()
us-core-1 best practice Condition A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

This structure is derived from USCoreCondition

Summary

Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 6 elements

Extensions

This structure refers to these extensions:

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron