Condition Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-condition |
|---|---|
| Status | draft · 1.26.0 |
| Base | Condition (constraint) |
| Source | FSH · JSON |
Nexus EMR profile for Condition resource, representing health concerns (CII E11) or clinical assessments (CII E34). Constrains necessary elements, requires a Nexus EMR identifier, and adds support for required extensions and security labels.
Elements / Snapshot
The full effective definition: base Condition with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | 0..* | Nexus EMR Condition Core Invariants: con-3, con-4, con-5, dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for condition i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)Invariants: ele-1 |
|
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| clinicalStatus | ?! | 0..1 | CodeableConcept | Whether the condition is still current i Binding: condition-clinical ( required)Invariants: ele-1 |
| verificationStatus | ?! | 0..1 | CodeableConcept | How confident the recorder is that the condition is real i Binding: condition-ver-status ( required)Invariants: ele-1 |
| category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis i Binding: condition-category ( extensible)Invariants: ele-1 |
| severity | 0..1 | CodeableConcept | Subjective severity of condition i Binding: condition-severity ( preferred)Invariants: ele-1 |
|
| code | S | 1..1 | CodeableConcept | Condition/diagnosis with raw code support i Binding: condition-code ( example)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | S | 0..* | Coding | A coded form of the condition i Slicing: value:system (open) Invariants: ele-1 |
| coding:icd10ca | 0..* | Coding | ICD-10-CA coding (system slot only; codes not enumerated -- CIHI-licensed) i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://hl7.org/fhir/sid/icd-10-caInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| text | S | 1..1 | string | Human-readable condition description (required) i Invariants: ele-1 |
| bodySite | 0..* | CodeableConcept | Anatomical location, if relevant i Binding: body-site ( example)Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | Who has the condition i Invariants: ele-1 |
| encounter | S | 0..1 | Reference(Encounter Profile) | Encounter when condition was documented i Invariants: ele-1 |
| onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | When the condition started i Invariants: ele-1 |
| abatement[x] | S | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission i Invariants: ele-1 |
| recordedDate | S | 0..1 | dateTime | Date condition was first recorded i Invariants: ele-1 |
| recorder | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition Invariants: ele-1 |
|
| asserter | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition Invariants: ele-1 |
|
| stage | 0..* | BackboneElement | Stage/grade, usually assessed formally Invariants: con-1, ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| summary | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: condition-stage ( example)Invariants: ele-1 |
|
| assessment | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment Invariants: ele-1 |
|
| type | 0..1 | CodeableConcept | Kind of staging Binding: condition-stage-type ( example)Invariants: ele-1 |
|
| evidence | 0..* | BackboneElement | Supporting evidence i Invariants: con-2, ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| code | 0..* | CodeableConcept | Manifestation/symptom Binding: manifestation-or-symptom ( example)Invariants: ele-1 |
|
| detail | 0..* | Reference(Resource) | Supporting information found elsewhere Invariants: ele-1 |
|
| note | S | 0..* | Annotation | Clinical comments on the condition -- one whole comment per repeat i Invariants: ele-1 |