RIVO-Noord Zorgviewer Implementation Guide
1.11.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.11.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Condition

Official URL: http://fhir.hl7.nl/zorgviewer/StructureDefinition/Condition Version: 1.11.0
Active as of 2025-01-06 Computable Name: Condition

Problemen

Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Probleem

FMS Adequate Registratie

Als bron voor de must-support flags en de UI guidance is gebruikt: Fit-gap analyse probleem

User-Interface guidance

Een schets van het scherm met labels en sortering informatie

Kolom definities:

Kolom label FHIR Path FHIR Type Zib element Toelichting of regels
Bron .meta.extension("http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source").valueUri string nvt Lookup adhv uri (AGB-Z of OID) <adressering-base>/Organization?identifier=<.meta.tag.code> en gebruik dan Organization.name
Datum .onsetDateTime of .onsetPeriod​ (Epic) dateTime of Period ProbleemBeginDatum Laat één datum zien als de .onsetDateTime of .onsetPeriod hetzelfde is​
Diagnose​ .code.text string​ ProbleemNaam
(1) UITKLAPVELD
Diagnose .code.coding[] en dan .system, .code en .display​ string ProbleemNaam Meerdere codes mogelijk.
Ignore NullFlavor.​
Lookup system label middels <terminologie-base>/CodeSystem?url=<.system> en gebruik dan CodeSystem.title
Toelichting .note.text string Toelichting
MARKERING
.clinicalStatus code ProbleemStatus Actueel (active) = groene rijen, dikgedrukt​
Niet actueel (inactive) = grijze rijen​

Zoeken naar codes

  • DHD T-Rex - system=http://snomed.info/sct
  • ICD-10-NL - system=http://hl7.org/fhir/sid/icd-10-nl
  • ICPC-1 NL - system=http://hl7.org/fhir/sid/icpc-1-nl

Request

  1. Opvragen (search) actieve en gesloten problemen

    GET <ontsluiten-bronsysteem-base>/Condition?patient=<fhir_patient_id>[&clinical-status=active,resolved]

    N.B. De clinical-status parameter is niet meer nodig als de Epic Feb '23 is geinstalleerd.

Uitzondering onsetDateTime, onsetPeriod, abatementDateTime en abatementPeriod

N.B. In tegenstelling tot het officiele zib profiel wordt in de praktijk voor de onset zowel een exacte datum (dateTime) geaccepteerd als een vage of range (period, b.v. ergens in 2011) datum.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Changes since version 1.10.0:

  • No changes

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required)
    .... Slices for extension Content/Rules for all slices
    ..... ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst

    .... Slices for extension Content/Rules for all slices
    ..... VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst

    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient) Who has the condition?
    ... Slices for onset[x] SΣ 1..1 dateTime Estimated or actual date, date-time, or age
    Slice: Unordered, Closed by type:$this
    .... onset[x]:onsetDateTime Σ 0..1 dateTime ProblemStartDate
    ... Slices for abatement[x] SC 0..1 dateTime If/when in resolution/remission
    Slice: Unordered, Closed by type:$this
    .... abatement[x]:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredCondition Clinical Status Codes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConceptextensibleProbleemStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConceptextensibleVerificatieStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    con-3errorConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    : verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1errorConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorConditionIf 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()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()

    This structure is derived from Zib Problem

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... clinicalStatus S 1..1 code ProblemStatus
    ... code S 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text S 0..1 string Plain text representation of the concept
    ... onset[x] S 1..1 dateTime Estimated or actual date, date-time, or age
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... 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
    ... 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 ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst

    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 0..1 code VerificationStatus
    Binding: ConditionVerificationStatus (required)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst

    .... value 0..1 code Primitive value for code
    ... category 0..* CodeableConcept ProblemType
    Binding: ProbleemTypeCodelijst (extensible): The type of problem.


    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text SΣ 0..1 string Plain text representation of the concept
    ... bodySite Σ 0..* CodeableConcept ProblemAnatomicalLocation
    Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst


    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... Laterality 0..1 (Complex) ProblemLaterality
    URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
    ...... Slices for value[x] 0..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 0..1 CodeableConcept BodySite qualifier
    Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist

    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient) Who has the condition?
    ... context Σ 0..1 Reference(HCIM Encounter | nl-core-episodeofcare) Encounter or episode when condition first asserted
    ... Slices for onset[x] SΣ 1..1 dateTime Estimated or actual date, date-time, or age
    Slice: Unordered, Closed by type:$this
    .... onset[x]:onsetDateTime Σ 0..1 dateTime ProblemStartDate
    ... Slices for abatement[x] SC 0..1 dateTime If/when in resolution/remission
    Slice: Unordered, Closed by type:$this
    .... abatement[x]:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... assertedDate Σ 0..1 dateTime Date record was believed accurate
    ... asserter Σ 0..1 Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner) Person who asserts this condition
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... stage C 0..1 BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.


    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.languageextensibleCommon Languages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    All Languages Max Binding
    Condition.clinicalStatusrequiredCondition Clinical Status Codes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConceptextensibleProbleemStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConceptextensibleVerificatieStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
    Condition.categoryextensibleProbleemTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000
    Condition.severitypreferredCondition/Diagnosis Severity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG
    Condition.bodySiteextensibleProbleemAnatomischeLocatieCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000
    Condition.bodySite.extension:Laterality.value[x]:valueCodeableConceptextensibleProbleemLateraliteitCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000
    Condition.stage.summaryexampleCondition Stage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.evidence.codeexampleManifestation and Symptom Codes
    http://hl7.org/fhir/ValueSet/manifestation-or-symptom
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    con-1errorCondition.stageStage SHALL have summary or assessment
    : summary.exists() or assessment.exists()
    con-2errorCondition.evidenceevidence SHALL have code or details
    : code.exists() or detail.exists()
    con-3errorConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    : verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1errorConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorConditionIf 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()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()

    This structure is derived from Zib Problem

    Summary

    Mandatory: 3 elements
    Must-Support: 6 elements

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required)
    .... Slices for extension Content/Rules for all slices
    ..... ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst

    .... Slices for extension Content/Rules for all slices
    ..... VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst

    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text SΣ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient) Who has the condition?
    ... Slices for onset[x] SΣ 1..1 dateTime Estimated or actual date, date-time, or age
    Slice: Unordered, Closed by type:$this
    .... onset[x]:onsetDateTime Σ 0..1 dateTime ProblemStartDate
    ... Slices for abatement[x] SC 0..1 dateTime If/when in resolution/remission
    Slice: Unordered, Closed by type:$this
    .... abatement[x]:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredCondition Clinical Status Codes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConceptextensibleProbleemStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConceptextensibleVerificatieStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    con-3errorConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    : verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1errorConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorConditionIf 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()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()

    Differential View

    This structure is derived from Zib Problem

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... clinicalStatus S 1..1 code ProblemStatus
    ... code S 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... text S 0..1 string Plain text representation of the concept
    ... onset[x] S 1..1 dateTime Estimated or actual date, date-time, or age
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Zib Problem Problem
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    ... 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
    ... 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 ?!SΣC 1..1 code ProblemStatus
    Binding: Condition Clinical Status Codes (required)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... ProblemStatusCodelist 0..* (Complex) clinicalstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst

    .... value 0..1 code Primitive value for code
    ... verificationStatus ?!ΣC 0..1 code VerificationStatus
    Binding: ConditionVerificationStatus (required)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... VerificatieStatusCodelijst 0..1 (Complex) Verificationstatus
    URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/code-specification"
    ...... Slices for value[x] 1..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
    Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst

    .... value 0..1 code Primitive value for code
    ... category 0..* CodeableConcept ProblemType
    Binding: ProbleemTypeCodelijst (extensible): The type of problem.


    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept ProblemName
    Binding: Zorgviewer probleem naam waardelijst (extensible)
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text SΣ 0..1 string Plain text representation of the concept
    ... bodySite Σ 0..* CodeableConcept ProblemAnatomicalLocation
    Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst


    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... Laterality 0..1 (Complex) ProblemLaterality
    URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
    ...... id 0..1 string xml:id (or equivalent in JSON)
    ...... extension 0..* Extension Additional Content defined by implementations
    Slice: Unordered, Open by value:url
    ...... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
    ...... Slices for value[x] 0..1 CodeableConcept Value of extension
    Slice: Unordered, Closed by type:$this
    ....... value[x]:valueCodeableConcept 0..1 CodeableConcept BodySite qualifier
    Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist

    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject Σ 1..1 Reference(nl-core-patient) Who has the condition?
    ... context Σ 0..1 Reference(HCIM Encounter | nl-core-episodeofcare) Encounter or episode when condition first asserted
    ... Slices for onset[x] SΣ 1..1 dateTime Estimated or actual date, date-time, or age
    Slice: Unordered, Closed by type:$this
    .... onset[x]:onsetDateTime Σ 0..1 dateTime ProblemStartDate
    ... Slices for abatement[x] SC 0..1 dateTime If/when in resolution/remission
    Slice: Unordered, Closed by type:$this
    .... abatement[x]:abatementDateTime C 0..1 dateTime ProblemEndDate
    ... assertedDate Σ 0..1 dateTime Date record was believed accurate
    ... asserter Σ 0..1 Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner) Person who asserts this condition
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ..... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
    URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
    .... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... stage C 0..1 BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string xml:id (or equivalent in JSON)
    .... extension 0..* Extension Additional Content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.


    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note S 0..* Annotation Comment

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.languageextensibleCommon Languages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    All Languages Max Binding
    Condition.clinicalStatusrequiredCondition Clinical Status Codes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConceptextensibleProbleemStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConceptextensibleVerificatieStatusCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
    Condition.categoryextensibleProbleemTypeCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000
    Condition.severitypreferredCondition/Diagnosis Severity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensibleProbleemNaamCodelist
    http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist
    from this IG
    Condition.bodySiteextensibleProbleemAnatomischeLocatieCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000
    Condition.bodySite.extension:Laterality.value[x]:valueCodeableConceptextensibleProbleemLateraliteitCodelijst
    http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000
    Condition.stage.summaryexampleCondition Stage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.evidence.codeexampleManifestation and Symptom Codes
    http://hl7.org/fhir/ValueSet/manifestation-or-symptom
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    con-1errorCondition.stageStage SHALL have summary or assessment
    : summary.exists() or assessment.exists()
    con-2errorCondition.evidenceevidence SHALL have code or details
    : code.exists() or detail.exists()
    con-3errorConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
    : verificationStatus='entered-in-error' or clinicalStatus.exists()
    con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
    dom-1errorConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
    : contained.text.empty()
    dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
    : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
    dom-4errorConditionIf 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()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() | (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    zv-con-1errorConditionAt least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present
    : onsetDateTime.exists() or onsetPeriod.exists()
    zv-con-2warningConditionUse either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
    : abatementDateTime.exists() or abatementPeriod.exists()

    This structure is derived from Zib Problem

    Summary

    Mandatory: 3 elements
    Must-Support: 6 elements

     

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