MyHealthWay
1.0.1 - Trial-Implementation
KR
MyHealthWay - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-condition | Version: 1.0.1 | |||
Active as of 2024-01-05 | Computable Name: MyHealthWayConditionProfile |
MyHealthWay 의 진단 상태 정보에 적용되는 Condition 구조.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from KRCore_Condition_EncounterDiagnosis
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis | |
identifier | 1..1 | Identifier | 진단정보 식별자 | |
system | 1..1 | uri | 식별체계 | |
value | 1..1 | string | 식별자 | |
clinicalStatus | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved | |
coding | 1..* | Coding | 정의된 코드 | |
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical |
code | S | 1..1 | code | active | inactive | resolved |
category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 |
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
code | 1..1 | CodeableConcept | 진단 코드 | |
coding:SNOMED-CT | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (required) | |
system | S | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct |
code | S | 1..1 | code | SNOMED-CT 코드 |
text | S | 0..1 | string | Plain text representation of the concept |
subject | S | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 |
encounter | S | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 |
recordedDate | 1..1 | dateTime | 진단 일시 | |
recorder | S | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | 진단정보 식별자 |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | Σ | 1..1 | uri | 식별체계 Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | 식별자 Example General: 123456 |
clinicalStatus | ?!SΣC | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
coding | Σ | 1..* | Coding | 정의된 코드 |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical |
code | SΣ | 1..1 | code | active | inactive | resolved |
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. |
Slices for category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
category:EnctrDiag | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: KR Core Condition Category Codes (extensible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 진단 | |
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
code | SΣ | 1..1 | CodeableConcept | 진단 코드 Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
coding:KCD-8 | SΣ | 1..* | Coding | 한국표준질병사인분류 8차 코드 정보 Binding: KR Core KCD8 Codes (required) |
system | SΣ | 1..1 | uri | 한국표준질병사인분류 8차 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8 |
code | SΣ | 1..1 | code | 한국표준질병사인분류 8차 코드 |
coding:SNOMED-CT | Σ | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (required) |
system | SΣ | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct |
code | SΣ | 1..1 | code | SNOMED-CT 코드 |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 |
encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 |
recordedDate | SΣ | 1..1 | dateTime | 진단 일시 |
recorder | SΣ | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.identifier.use | required | IdentifierUse |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.category:EnctrDiag | extensible | Pattern: 진단 |
Condition.category:Diag | extensible | Pattern: encounter-diagnosis |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Condition.code.coding:KCD-8 | required | KR_Core_KCD8_Codes |
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) |
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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis | ||||
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | 진단정보 식별자 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | 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. | ||||
system | Σ | 1..1 | uri | 식별체계 Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | 식별자 Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
clinicalStatus | ?!SΣC | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status 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 | |||||
coding | Σ | 1..* | Coding | 정의된 코드 | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | active | inactive | resolved | ||||
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 | ||||
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. | ||||
Slices for category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
category:EnctrDiag | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: KR Core Condition Category Codes (extensible) Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 진단 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | SΣ | 1..1 | CodeableConcept | 진단 코드 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
coding:KCD-8 | SΣ | 1..* | Coding | 한국표준질병사인분류 8차 코드 정보 Binding: KR Core KCD8 Codes (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 | SΣ | 1..1 | uri | 한국표준질병사인분류 8차 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | 한국표준질병사인분류 8차 코드 | ||||
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:SNOMED-CT | Σ | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (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 | SΣ | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | SNOMED-CT 코드 | ||||
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 | SΣ | 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 | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 | ||||
encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 | ||||
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 | SΣ | 1..1 | dateTime | 진단 일시 | ||||
recorder | SΣ | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 | ||||
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
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 | ||||
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 |
Path | Conformance | ValueSet / Code | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.identifier.use | required | IdentifierUse | ||||
Condition.identifier.type | extensible | Identifier Type Codes | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.category:EnctrDiag | extensible | Pattern: 진단 | ||||
Condition.category:Diag | extensible | Pattern: encounter-diagnosis | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:KCD-8 | required | KR_Core_KCD8_Codes | ||||
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
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 KRCore_Condition_EncounterDiagnosis
Summary
Mandatory: 9 elements (2 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from KRCore_Condition_EncounterDiagnosis
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis | |
identifier | 1..1 | Identifier | 진단정보 식별자 | |
system | 1..1 | uri | 식별체계 | |
value | 1..1 | string | 식별자 | |
clinicalStatus | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved | |
coding | 1..* | Coding | 정의된 코드 | |
system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical |
code | S | 1..1 | code | active | inactive | resolved |
category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 |
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
code | 1..1 | CodeableConcept | 진단 코드 | |
coding:SNOMED-CT | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (required) | |
system | S | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct |
code | S | 1..1 | code | SNOMED-CT 코드 |
text | S | 0..1 | string | Plain text representation of the concept |
subject | S | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 |
encounter | S | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 |
recordedDate | 1..1 | dateTime | 진단 일시 | |
recorder | S | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 1..1 | Identifier | 진단정보 식별자 |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
system | Σ | 1..1 | uri | 식별체계 Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | 식별자 Example General: 123456 |
clinicalStatus | ?!SΣC | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
coding | Σ | 1..* | Coding | 정의된 코드 |
system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical |
code | SΣ | 1..1 | code | active | inactive | resolved |
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. |
Slices for category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
category:EnctrDiag | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: KR Core Condition Category Codes (extensible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 진단 | |
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |
code | SΣ | 1..1 | CodeableConcept | 진단 코드 Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
coding:KCD-8 | SΣ | 1..* | Coding | 한국표준질병사인분류 8차 코드 정보 Binding: KR Core KCD8 Codes (required) |
system | SΣ | 1..1 | uri | 한국표준질병사인분류 8차 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8 |
code | SΣ | 1..1 | code | 한국표준질병사인분류 8차 코드 |
coding:SNOMED-CT | Σ | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (required) |
system | SΣ | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct |
code | SΣ | 1..1 | code | SNOMED-CT 코드 |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 |
encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 |
recordedDate | SΣ | 1..1 | dateTime | 진단 일시 |
recorder | SΣ | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.identifier.use | required | IdentifierUse |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.category:EnctrDiag | extensible | Pattern: 진단 |
Condition.category:Diag | extensible | Pattern: encounter-diagnosis |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Condition.code.coding:KCD-8 | required | KR_Core_KCD8_Codes |
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) |
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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | KRCore_Condition_EncounterDiagnosis | KR Core Condition Profile for Encounter Diagnosis | ||||
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 1..1 | Identifier | 진단정보 식별자 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | 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. | ||||
system | Σ | 1..1 | uri | 식별체계 Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | 식별자 Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
clinicalStatus | ?!SΣC | 1..1 | CodeableConcept | 진단 상태: active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status 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 | |||||
coding | Σ | 1..* | Coding | 정의된 코드 | ||||
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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | active | inactive | resolved | ||||
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 | ||||
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. | ||||
Slices for category | S | 2..* | CodeableConcept | 진단 및 주호소 정보 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
category:EnctrDiag | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: KR Core Condition Category Codes (extensible) Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 진단 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
category:Diag | S | 1..1 | CodeableConcept | 진단 및 주호소 범주 Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: encounter-diagnosis | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
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 | SΣ | 1..1 | CodeableConcept | 진단 코드 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
coding:KCD-8 | SΣ | 1..* | Coding | 한국표준질병사인분류 8차 코드 정보 Binding: KR Core KCD8 Codes (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 | SΣ | 1..1 | uri | 한국표준질병사인분류 8차 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/kostat-kcd-8 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | 한국표준질병사인분류 8차 코드 | ||||
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:SNOMED-CT | Σ | 0..1 | Coding | SNOMED-CT 코드 Binding: MyHealthWay SNOMED CT Codes (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 | SΣ | 1..1 | uri | SNOMED-CT 코드체계 Fixed Value: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 1..1 | code | SNOMED-CT 코드 | ||||
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 | SΣ | 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 | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 환자 정보 | ||||
encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | 내원 정보 | ||||
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 | SΣ | 1..1 | dateTime | 진단 일시 | ||||
recorder | SΣ | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | 진료의 정보 | ||||
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
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 | ||||
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 |
Path | Conformance | ValueSet / Code | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.identifier.use | required | IdentifierUse | ||||
Condition.identifier.type | extensible | Identifier Type Codes | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.category:EnctrDiag | extensible | Pattern: 진단 | ||||
Condition.category:Diag | extensible | Pattern: encounter-diagnosis | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:KCD-8 | required | KR_Core_KCD8_Codes | ||||
Condition.code.coding:SNOMED-CT | required | MyHealthWaySnomedctCodes (a valid code from SNOMED CT) | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
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 KRCore_Condition_EncounterDiagnosis
Summary
Mandatory: 9 elements (2 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron