KR Core Implementation Guide
1.0.2 - STU1
KR Core Implementation Guide - Local Development build (v1.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-condition-chief-complaint | Version: 1.0.2 | |||
Active as of 2023-12-04 | Computable Name: KRCore_Condition_ChiefComplaint |
KR Core의 주호소 상태 정보에 적용되는 Condition 구조.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | KR Core Condition Profile for Chief Complaint | |
clinicalStatus | 0..1 | CodeableConcept | 주호소 임상적 상태: active | recurrence | relapse | inactive | remission | resolved | |
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this | |
category:CC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: KR Core Condition Category Codes (extensible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.hl7korea.or.kr/fhir/krcore/CodeSystem/krcore-condition-category-types | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 주호소 | |
code | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) | |
subject | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 | |
encounter | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 | |
onset[x] | 0..1 | dateTime, Age, Period, Range, string | 주호소 발생일자 | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.category:CC | extensible | Pattern: 주호소 |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | KR Core Condition Profile for Chief Complaint |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | 주호소 임상적 상태: active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |
category:CC | 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: 주호소 | |
code | Σ | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) |
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 |
encounter | Σ | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 |
onset[x] | Σ | 0..1 | 주호소 발생일자 | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.category:CC | extensible | Pattern: 주호소 |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | KR Core Condition Profile for Chief Complaint | ||||
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 | 0..* | Identifier | External Ids for this condition | ||||
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | 주호소 임상적 상태: 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. | ||||
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
category:CC | 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: 주호소 | |||||
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 | Σ | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 | ||||
encounter | Σ | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 | ||||
onset[x] | Σ | 0..1 | 주호소 발생일자 | |||||
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.category:CC | extensible | Pattern: 주호소 | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
This structure is derived from Condition
Summary
Mandatory: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | KR Core Condition Profile for Chief Complaint | |
clinicalStatus | 0..1 | CodeableConcept | 주호소 임상적 상태: active | recurrence | relapse | inactive | remission | resolved | |
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this | |
category:CC | 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: 주호소 | |
code | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) | |
subject | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 | |
encounter | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 | |
onset[x] | 0..1 | dateTime, Age, Period, Range, string | 주호소 발생일자 | |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.category:CC | extensible | Pattern: 주호소 |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | KR Core Condition Profile for Chief Complaint |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | 주호소 임상적 상태: 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. |
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |
category:CC | 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: 주호소 | |
code | Σ | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) |
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 |
encounter | Σ | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 |
onset[x] | Σ | 0..1 | 주호소 발생일자 | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
Documentation for this format |
Path | Conformance | ValueSet / Code |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Condition.category | extensible | ConditionCategoryCodes |
Condition.category:CC | extensible | Pattern: 주호소 |
Condition.code | example | Condition/Problem/DiagnosisCodes |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | KR Core Condition Profile for Chief Complaint | ||||
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 | 0..* | Identifier | External Ids for this condition | ||||
clinicalStatus | ?!ΣC | 0..1 | CodeableConcept | 주호소 임상적 상태: 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. | ||||
Slices for category | 1..* | CodeableConcept | 진단 및 주호소 범주 Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
category:CC | 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: 주호소 | |||||
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 | Σ | 1..1 | CodeableConcept | 주호소명 Binding: Condition/Problem/DiagnosisCodes (example) | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 주호소 대상 | ||||
encounter | Σ | 0..1 | Reference(KR Core Encounter Profile) | 주호소 관련 내원 정보 | ||||
onset[x] | Σ | 0..1 | 주호소 발생일자 | |||||
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(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.category:CC | extensible | Pattern: 주호소 | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
This structure is derived from Condition
Summary
Mandatory: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
KR Core IG를 따르는 Server는 반드시(SHALL) Codition Resource
를 지원하고, KR Core Condition Profile for Chief Complaint을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) Codition Resource
를 지원하고, Codition Resource
를 지원하는 경우, KR Core Condition Profile for Chief Complaint을 반드시(SHALL) 지원해야 한다.
KR Core Condition Profile for Chief Complaint은 KR CDI의 진단 및 주호소 정보 클래스 중 일부에 대응됨.
KR CDI 진단 및 주호소 정보 클래스 항목 | KR Core Condition Profile for Chief Complaint 관련 항목 |
---|---|
진단일자 | KR Core Condition Profile for Encounter Diagnosis 참고 |
진단명 | KR Core Condition Profile for Encounter Diagnosis 참고 |
진단 임상적 상태 | KR Core Condition Profile for Encounter Diagnosis 참고 |
주호소 발생일자 | Condition.onset |
주호소명 | Condition.code |
주호소 임상적 상태 | Condition.clinicalStatus |
Condition Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.
Name | Type | Description | Expression | Expectations |
---|---|---|---|---|
category | token | 진단 및 주호소 범주 | Condition.category | MAY |
clinical-status | token | 진단 및 주호소 임상적 상태: active | recurrence | relapse | inactive | remission | resolved | Condition.clinicalStatus | MAY |
code | token | 진단 및 주호소 상태를 식별하는 코드 | Condition.code | SHALL |
recorded-date | date | 진단 및 주호소 최초 기록일자 또는 진단일자 | Condition.recordedDate | MAY |
encounter | reference | 진단 및 주호소 상태가 속한 수진 | Condition.encounter | MAY |
onset-date | date | 진단 및 주호소 발생일자 | Condition.onset.ofType(dateTime) | Condition.onset.ofType(Period) | MAY |
patient | reference | 진단 및 주호소 상태의 대상 | Condition.subject.where(resolve() is Patient) | SHALL |
NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:
NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.