NZ Shared Digital Health Record API
0.4.0 - draft
NZ Shared Digital Health Record API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/SDHRCondition | Version: 0.4.0 | |||
Draft as of 2025-05-02 | Computable Name: SDHRCondition |
Condition resource to record problems and conditions affecting a person
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 0..* | NzCondition | Detailed information about conditions, problems or diagnoses 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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0..1 | boolean | Long Term Condition Indicator URL: http://hl7.org.nz/fhir/StructureDefinition/long-term-condition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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Σ | 0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient Example Local Identifier System: https://fhir.example.co.nz |
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Σ | 1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 |
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 ele-1: All FHIR elements must have a @value or children |
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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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient |
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Practitioner) | Person who asserts this condition ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ ele-1: All FHIR elements must have a @value or children |
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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). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner |
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Path | Conformance | ValueSet / Code | URI |
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.subject.type | extensible | Pattern: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | |
Condition.asserter.type | extensible | Pattern: Practitionerhttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from NzCondition
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | NzCondition | Detailed information about conditions, problems or diagnoses | |
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1..1 | uri | Captures the source of the record - please see description for details | |
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1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
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0..0 | |||
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0..0 | |||
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0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. | |
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0..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. | |
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1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application Example Local Identifier System: https://fhir.example.co.nz | |
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1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 | |
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1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) | |
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0..1 | boolean | Indicates that the value has been selected by a system user | |
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1..1 | Reference(Patient) | Who has the condition? | |
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0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 | |
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0..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Patient | |
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0..1 | dateTime | Estimated or actual date, date-time, or age | |
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1..1 | Reference(Practitioner) | Person who asserts this condition | |
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0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ | |
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0..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner | |
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Path | Conformance | ValueSet | URI |
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | NzCondition | Detailed information about conditions, problems or diagnoses 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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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..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 1..1 | uri | Captures the source of the record - please see description for details | ||||
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Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | boolean | Long Term Condition Indicator URL: http://hl7.org.nz/fhir/StructureDefinition/long-term-condition | |||||
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Σ | 0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. | ||||
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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..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application Example General: http://www.acme.com/identifiers/patient Example Local Identifier System: https://fhir.example.co.nz | ||||
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Σ | 1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 Example General: 123456 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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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. | |||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) | ||||
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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 | Code defined by a terminology system | ||||
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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..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | Indicates that the value has been selected by a system user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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Σ | 1..1 | Reference(Patient) | Who has the condition? | ||||
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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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ΣC | 0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 | ||||
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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). Required Pattern: Patient | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age | ||||
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C | 0..1 | When in resolution/remission | |||||
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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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 1..1 | Reference(Practitioner) | Person who asserts this condition | ||||
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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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ΣC | 0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ | ||||
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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). Required Pattern: Practitioner | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally 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 | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence 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 | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Condition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Condition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | Pattern: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.asserter.type | extensible | Pattern: Practitionerhttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from NzCondition
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
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C | 0..* | NzCondition | Detailed information about conditions, problems or diagnoses 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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Content/Rules for all slices | |||
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0..1 | boolean | Long Term Condition Indicator URL: http://hl7.org.nz/fhir/StructureDefinition/long-term-condition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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Σ | 0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient Example Local Identifier System: https://fhir.example.co.nz |
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Σ | 1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 |
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 ele-1: All FHIR elements must have a @value or children |
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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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient |
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Practitioner) | Person who asserts this condition ele-1: All FHIR elements must have a @value or children |
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ΣC | 0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ ele-1: All FHIR elements must have a @value or children |
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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). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner |
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Path | Conformance | ValueSet / Code | URI |
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Condition.subject.type | extensible | Pattern: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | |
Condition.asserter.type | extensible | Pattern: Practitionerhttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from NzCondition
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | NzCondition | Detailed information about conditions, problems or diagnoses | |
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1..1 | uri | Captures the source of the record - please see description for details | |
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1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
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0..0 | |||
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0..0 | |||
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0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. | |
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0..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. | |
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1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application Example Local Identifier System: https://fhir.example.co.nz | |
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1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 | |
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1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) | |
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0..1 | boolean | Indicates that the value has been selected by a system user | |
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1..1 | Reference(Patient) | Who has the condition? | |
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0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 | |
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0..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Patient | |
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0..1 | dateTime | Estimated or actual date, date-time, or age | |
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1..1 | Reference(Practitioner) | Person who asserts this condition | |
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0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ | |
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0..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner | |
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Path | Conformance | ValueSet | URI |
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | NzCondition | Detailed information about conditions, problems or diagnoses 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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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..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 1..1 | uri | Captures the source of the record - please see description for details | ||||
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Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | boolean | Long Term Condition Indicator URL: http://hl7.org.nz/fhir/StructureDefinition/long-term-condition | |||||
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Σ | 0..* | Identifier | A local identifier MAY be added to this section. If used, system MUST be specified. | ||||
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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..1 | code | The local identifier use SHOULD be set to secondary, where the SDHR resource id is considered the primary identifier. Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | System for the local identifier. This MUST be consistent per PMS/Health Application Example General: http://www.acme.com/identifiers/patient Example Local Identifier System: https://fhir.example.co.nz | ||||
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Σ | 1..1 | string | The actual local identifier value, e.g. ec2d6cad-1e19-46ee-accf-dc460a680710 Example General: 123456 Example Local Identifier Value: ec2d6cad-1e19-46ee-accf-dc460a680710 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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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. | |||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (preferred) | ||||
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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 | Code defined by a terminology system | ||||
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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..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | Indicates that the value has been selected by a system user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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Σ | 1..1 | Reference(Patient) | Who has the condition? | ||||
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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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ΣC | 0..1 | string | Must be an absolute URL reference to the patient on the NHI system. E.g. https://api.hip.digital.health.nz/fhir/Patient/ZZZ0008 | ||||
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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). Required Pattern: Patient | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age | ||||
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C | 0..1 | When in resolution/remission | |||||
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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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 1..1 | Reference(Practitioner) | Person who asserts this condition | ||||
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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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ΣC | 0..1 | string | Must be an absolute URL reference to the practitioner on the HPI system E.g. https://api.hip.digital.health.nz/fhir/Practitioner/99ZZZZ | ||||
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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). Required Pattern: Practitioner | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally 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 | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence 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 | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Condition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Condition.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | preferred | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | Pattern: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.asserter.type | extensible | Pattern: Practitionerhttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from NzCondition
Other representations of profile: CSV, Excel, Schematron