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.
Invariants
Every rule in force on a conforming instance. This profile rows are stated here; inherited rows come from the base resource and are listed so that a constraint named on an element is findable. Invariant keys elsewhere on this page link into this table.
Key
Source
Severity
On
Rule
nexus-note-extension-not-where-native
this profile
error
Condition
The resource-note extension is not used on a resource that has a native note element -- that element is the home extension('../StructureDefinition/nexus-emr-resource-note').empty()
con-1
inherited
error
Condition.stage
Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2
inherited
error
Condition.evidence
evidence SHALL have code or details code.exists() or detail.exists()
con-3
inherited
warning
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
inherited
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
inherited
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
inherited
error
Condition
If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3
inherited
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
dom-4
inherited
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
inherited
error
Condition
If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6
inherited
warning
Condition
A resource should have narrative for robust management text.div.exists()
ele-1
inherited
error
Condition.meta
All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1
inherited
error
Condition.meta.extension
Must have either extensions or value[x], not both extension.exists() != value.exists()