HL7 FHIR Implementation Guide: DK Core
3.2.0 - release Denmark flag

This page is part of the HL7 FHIR Implementation Guide: DK Core (v3.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Danish Core Condition Profile

Official URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-condition Version: 3.2.0
Active as of 2024-05-06 Computable Name: DkCoreCondition

HL7 Denmark core profile for professionally asserted conditions, as specified by danish health and social care organizations

Scope and usage

The Danish Core Condition profile is intended to encapsulate condition information, as used in the Danish health sector. In dk-core, conditions have been constrained to only containing conditions as stated by health or social sector practitioners This means that conditions, that patients or citizens assert themselves to have, should not be represented using this profile. Patients’ own assessments can, in most cases, be represented as Observations or QuestionnaireResponses. However, in some use cases, where the patient asserts the problem, that leads to healthcare interventions or own interventions. It does make sense to represent these as Conditions. In this case, use the international standard Condition, not this dk-core Condition profile.

This way of constraining the Condition profile is within the boundaries of what the Danish Health Data Authority and Local Government Denmark define as a Condition.

  • The Danish Health Data Authority, Begrebsbasen: Helbredstilstand er en tilstand vedrørende helbred der aktuelt vurderes med henblik på sundhedsintervention
  • Local Government Denmark, Fælleskommunale rammearkitektur, FKI: Fokustilstand er en borgers helbredsmæssige, funktionsmæssige og/eller sociale situation, på et givet tidspunkt, der er anledning til faglig bekymring, og vurderes mhp. indsats

We use the Condition profile for describing both conditions that are true for an encounter, and for conditions that are true for a periode of time. “In FHIR, we distinguish between the two using the Condition.category that can take the two values problem-list-item og encounter-diagnosis. In this list, examples of use is compiled:

  • LPR3 conditions are encounter-diagnosis
  • Regional care-pathway diagnosis (Regionale forløbsdiagnoser) are problem-list-items
  • General practioners can code each encounter with an ICPC code. This is an encounter-diagnosis
  • Municipality conditions i.e. FSIII-conditions and FFB-subthemes are problem-list-items
  • General practitioners, in some cases, follow a patient condition for a longer periode of time (e.g. high blood pressure, high cholesterol, COPD), and some systems support care pathways for these conditions. These conditions may be categorized as problem-list-items.

Given that we have a condition, which is a problem-list-item, ending the condition have two meanings:

  • The first is that the patient no longer has the condition e.g. a pressure ulcer has healed. In this case, Condition.clinicalStatus=inactive and Condition.abatementTime is the date where the condition was no longer a problem.
  • The second meaning of “ended” is that the condition falls out of focus in a professional context e.g. if the patient moves, or another professional group takes over the care for the patient. A Condition no longer in focus can be represented in two ways:
    • The Condition.category looses its “problem-list-item” flag. The idea is to state that from a patient viewpoint the condition has not changed, but in this professional context it is no longer in focus.
    • The Condition.extension.NotFollowedAnymore is populated with the date that it lost focus in a specific professional context.

The status attributes controls the context of a condition. clinicalStatus should be populated with the value “active” if the patient has the condition, and inactive if the patient no longer have the condition. Condition.verificationStatus should be set to “confirmed” if the condition have been established as true by someone with authority (e.g. a diagnosis is confirmed by a doctor). A condition is “unconfirmed”, if the patient is suspected of having a condition, and “refuted” if it has been confirmed that the condition is not present. An example of an unconfirmed condition can be found here John Melanoma.

Note that “unconfirmed” is not the same as a risk of developing a condition. The risk of developing a certain condition may be recorded in (at least) two ways in FHIR i.e. as a familyMemberHistory or by populating Condition.code with a code that expresses a risk e.g. the SNOMED CT code ´395112001 At increased risk for cardiovascular event (finding)´. The first would typically be used if recording a family history, the second, if you want to use an increased risk as the reason for starting a prophylactic treatment.

Condition profile cover both primary sector, secondary sector (medical specialists ([DA] speciallæger) and hospitals) and municipality cases. As such the profile should be usable in most Danish contexts.

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

... conditionLastAssertedDate 0..1 dateTime Last date a condition was confirmed valid in its current state
URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
... code
.... Slices for coding 0..* Coding Condition code, [DA] tilstandskode
Slice: Unordered, Open by value:system
..... coding:FSIIIConditionCode 0..1 Coding [DA] FSIII tilstandskode
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.21
..... coding:SCTConditionCode 0..1 Coding SNOMED CT condition code
Binding: Condition/Problem/DiagnosisCodes (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:FFBConditionCode 0..1 Coding [DA] FFB undertemakode
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.22
..... coding:SKS-D 0..1 Coding [DA] Kode fra D-hierarkiet i SKS
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.4.12
..... coding:ICPC2code 0..1 Coding ICPC2 code
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.31
... subject 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... recorder 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.code.coding:SCTConditionCoderequiredCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.


... notFollowedAnymore 0..1 dateTime Date where a condition lost focus in a specific clinical context
URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!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.

... subject Σ 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... recorder Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition 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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.


... conditionLastAssertedDate 0..1 dateTime Last date a condition was confirmed valid in its current state
URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
... notFollowedAnymore 0..1 dateTime Date where a condition lost focus in a specific clinical context
URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!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.

... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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 Σ 0..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Condition code, [DA] tilstandskode
Slice: Unordered, Open by value:system
..... coding:FSIIIConditionCode Σ 0..1 Coding [DA] FSIII tilstandskode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.21
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCTConditionCode Σ 0..1 Coding SNOMED CT condition code
Binding: Condition/Problem/DiagnosisCodes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:FFBConditionCode Σ 0..1 Coding [DA] FFB undertemakode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.22
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SKS-D Σ 0..1 Coding [DA] Kode fra D-hierarkiet i SKS
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.4.12
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ICPC2code Σ 0..1 Coding ICPC2 code
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.31
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:SCTConditionCoderequiredCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.

... conditionLastAssertedDate 0..1 dateTime Last date a condition was confirmed valid in its current state
URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
... code
.... Slices for coding 0..* Coding Condition code, [DA] tilstandskode
Slice: Unordered, Open by value:system
..... coding:FSIIIConditionCode 0..1 Coding [DA] FSIII tilstandskode
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.21
..... coding:SCTConditionCode 0..1 Coding SNOMED CT condition code
Binding: Condition/Problem/DiagnosisCodes (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:FFBConditionCode 0..1 Coding [DA] FFB undertemakode
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.22
..... coding:SKS-D 0..1 Coding [DA] Kode fra D-hierarkiet i SKS
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.4.12
..... coding:ICPC2code 0..1 Coding ICPC2 code
...... system 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.31
... subject 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... recorder 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.code.coding:SCTConditionCoderequiredCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.


... notFollowedAnymore 0..1 dateTime Date where a condition lost focus in a specific clinical context
URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!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.

... subject Σ 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... recorder Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition 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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... dueTo 0..1 CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) Causes for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.


... conditionLastAssertedDate 0..1 dateTime Last date a condition was confirmed valid in its current state
URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
... notFollowedAnymore 0..1 dateTime Date where a condition lost focus in a specific clinical context
URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!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.

... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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 Σ 0..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Condition code, [DA] tilstandskode
Slice: Unordered, Open by value:system
..... coding:FSIIIConditionCode Σ 0..1 Coding [DA] FSIII tilstandskode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.21
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCTConditionCode Σ 0..1 Coding SNOMED CT condition code
Binding: Condition/Problem/DiagnosisCodes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:FFBConditionCode Σ 0..1 Coding [DA] FFB undertemakode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.22
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SKS-D Σ 0..1 Coding [DA] Kode fra D-hierarkiet i SKS
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.4.12
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ICPC2code Σ 0..1 Coding ICPC2 code
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:1.2.208.176.2.31
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ 1..1 Reference(Danish Core Patient Profile) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile) Who recorded the condition
... asserter Σ 0..1 Reference(Danish Core Practitioner Profile | PractitionerRole) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.code.coding:SCTConditionCoderequiredCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron