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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
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
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
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 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
implicitRules	?!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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!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
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. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition? ele-1: All FHIR elements must have a @value or children
recorder	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
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
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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 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
implicitRules	?!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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
conditionLastAssertedDate		0..1	dateTime	Last date a condition was confirmed valid in its current state URL: http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
notFollowedAnymore		0..1	dateTime	Date where a condition lost focus in a specific clinical context URL: http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!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
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. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Danish Core Patient Profile)	Who has the condition? ele-1: All FHIR elements must have a @value or children
recorder	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole | Danish Core Patient Profile | Danish Core Related Person Profile)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	Σ	0..1	Reference(Danish Core Practitioner Profile | PractitionerRole)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

This structure is derived from Condition

Summary

Mandatory: 0 element(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)
• Danish Core Practitioner Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-dueTo
• http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate
• http://hl7.dk/fhir/core/StructureDefinition/NotFollowedAnymore

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding