Implementation Guide for fælleskommunal informationsmodel
1.2.0 - release
This page is part of the KLCore (v1.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialFocusCondition | Version: 1.2.0 | |||
Active as of 2023-06-07 | Computable Name: KLCommonCareSocialFocusCondition |
Conditions which may be used to express the focus of an intervention or the problem of a citizen in Danish municipalities. Mostly used for cross sector use cases.
The FocusCondition is used for the documentation and exchange of conditions, that does not originate from the municipality from which a citizen currently recieves their care, but which are nevertheless important for the care or treatment that the citizen recieves from the municipality. As the conditions originates from different organisations, they have different code systems and Value sets associated with them, which are documented in different slices of Condition.code.coding. The different types of conditions allowed are:
A short description of the citizens condition can be provided in Condition.code.text, which is especially important if the condition does not have a code or if the code is not very specific. If the external party wishes to send more thorough descriptions or historic notes about the condition, they may be added using Condition.note - in addition to text, Condition.note contains a date and author, making it possible to refer to historic notes documented by others, than the one autoring the Condition itself.
The Condition.asserter can reference a practitioner, who is responsible for finding the condition or first describing the condition as a condition. Condition.recorder can reference the practioner responsible for this recording of the condition.
Three time-references define the clinical course of the condition:
It is a good idea to always provide clinicalStatus and verificationStatus. If they are not populated, the condition is assumed to be confirmed and active.
Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificere hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet
FKI-attribut | Definition | FHIR |
---|---|---|
tværorganisatoriskTilstandskode | klasse der udtrykker, hvilken persontilstand der er tale om. | Condition.code.coding |
tværorganisatoriskTilstandsvurdering | Kortfattet beskrivelse af tilstanden, som uddybning af kode eller koder. | Condition.code.text |
tværorganisatoriskTilstandsubjekt | Den borger, som den tværorganisatoriske tilstand vedrører | Condition.subject |
tværorganisatoriskTilstandAnsvarlig | Den fagperson, der er ansvarlig for at have fundet tilstanden. | Condition.asserter |
tværorganisatoriskTilstandDokumentationsansvarlig | Den fagperson, der er ansvarlig for denne dokumentation af tilstanden | Condition.recorder |
tværorganisatoriskTilstandstatus | Klasse der udtrykker en status for om tilstanden er til stede eller ej. | Condition.clinicalStatus og Condition.verificationStatus |
tværorganisatoriskTilstandstart | Det tidspunkt, hvor tilstanden først har vist sig | Condition.onset[x] |
tværorganisatoriskTilstandsafslutningstid | Det tidspunkt hvor tilstanden først er erkendt som ikke længere værende til stede. | Condition.abatement[x] |
tværorganisatoriskTilstandregistreringstid | Det tidspunkt hvor denne registrering vedr. tilstanden er gennemført | Condition.recordedDate |
tværorganisatoriskTilstandFagligtNotat | Uddybninger eller journalnotater hørende til den tværorganisatorisk tilstand | Condition.note |
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 | Detailed information about conditions, problems or diagnoses | |
clinicalStatus | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus | |
verificationStatus | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus | |
code | ||||
Slices for coding | 0..* | Coding | [DK] tværorganisatoriskTilstandskode Slice: Unordered, Open by value:system | |
coding:FSIIIConditionCode | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandKoderFSIII (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | |
coding:SCTConditionCode | 0..1 | Coding | Code defined by a terminology system Binding: Condition/Problem/DiagnosisCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
coding:FFBCodesCT | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandeOgMålgrupperFFB (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22 | |
coding:ICD10codes | 0..1 | Coding | Code defined by a terminology system | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12 | |
coding:ICPC2codes | 0..1 | Coding | Code defined by a terminology system | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: https://kiap.dk/koder/icpc-2-dk | |
text | 0..1 | string | [DK] tværorganisatoriskTilstandsvurdering | |
subject | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt | |
onset[x] | 0..1 | dateTime, Age, Period, Range, string | [DK] tværorganisatoriskTilstandstart | |
abatement[x] | 0..1 | dateTime, Age, Period, Range, string | [DK] tværorganisatoriskTilstandsafslutningstid | |
recordedDate | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid | |
recorder | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig | |
asserter | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig | |
note | 0..* | Annotation | [DK] tværorganisatoriskTilstandFagligtNotat | |
author[x] | 0..1 | Reference(Practitioner) | Individual responsible for the annotation | |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.code.coding:FSIIIConditionCode | required | KLConditionCodesFSIII |
Condition.code.coding:SCTConditionCode | required | Condition/Problem/DiagnosisCodes |
Condition.code.coding:FFBCodesCT | required | KLConditionsAndTargetGroupsFFB |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses |
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 | [DK] tværorganisatoriskTilstandstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
subject | Σ | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt |
onset[x] | Σ | 0..1 | [DK] tværorganisatoriskTilstandstart | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
abatement[x] | C | 0..1 | [DK] tværorganisatoriskTilstandsafslutningstid | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recordedDate | Σ | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid |
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig |
asserter | Σ | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig |
note | 0..* | Annotation | [DK] tværorganisatoriskTilstandFagligtNotat | |
author[x] | Σ | 0..1 | Reference(Practitioner) | Individual responsible for the annotation |
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses | ||||
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 | [DK] tværorganisatoriskTilstandstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | [DK] tværorganisatoriskTilstandskode Slice: Unordered, Open by value:system | ||||
coding:FSIIIConditionCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandKoderFSIII (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:SCTConditionCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Condition/Problem/DiagnosisCodes (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:FFBCodesCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandeOgMålgrupperFFB (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ICD10codes | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ICPC2codes | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://kiap.dk/koder/icpc-2-dk | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [DK] tværorganisatoriskTilstandsvurdering | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
subject | Σ | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | Σ | 0..1 | [DK] tværorganisatoriskTilstandstart | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | C | 0..1 | [DK] tværorganisatoriskTilstandsafslutningstid | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid | ||||
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig | ||||
asserter | Σ | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig | ||||
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 | [DK] tværorganisatoriskTilstandFagligtNotat | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
author[x] | Σ | 0..1 | Reference(Practitioner) | Individual responsible for the annotation | ||||
time | Σ | 0..1 | dateTime | When the annotation was made | ||||
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:FSIIIConditionCode | required | KLConditionCodesFSIII | ||||
Condition.code.coding:SCTConditionCode | required | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:FFBCodesCT | required | KLConditionsAndTargetGroupsFFB | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | 0..* | Condition | Detailed information about conditions, problems or diagnoses | |
clinicalStatus | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus | |
verificationStatus | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus | |
code | ||||
Slices for coding | 0..* | Coding | [DK] tværorganisatoriskTilstandskode Slice: Unordered, Open by value:system | |
coding:FSIIIConditionCode | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandKoderFSIII (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | |
coding:SCTConditionCode | 0..1 | Coding | Code defined by a terminology system Binding: Condition/Problem/DiagnosisCodes (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
coding:FFBCodesCT | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandeOgMålgrupperFFB (required) | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22 | |
coding:ICD10codes | 0..1 | Coding | Code defined by a terminology system | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12 | |
coding:ICPC2codes | 0..1 | Coding | Code defined by a terminology system | |
system | 1..1 | uri | Identity of the terminology system Required Pattern: https://kiap.dk/koder/icpc-2-dk | |
text | 0..1 | string | [DK] tværorganisatoriskTilstandsvurdering | |
subject | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt | |
onset[x] | 0..1 | dateTime, Age, Period, Range, string | [DK] tværorganisatoriskTilstandstart | |
abatement[x] | 0..1 | dateTime, Age, Period, Range, string | [DK] tværorganisatoriskTilstandsafslutningstid | |
recordedDate | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid | |
recorder | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig | |
asserter | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig | |
note | 0..* | Annotation | [DK] tværorganisatoriskTilstandFagligtNotat | |
author[x] | 0..1 | Reference(Practitioner) | Individual responsible for the annotation | |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.code.coding:FSIIIConditionCode | required | KLConditionCodesFSIII |
Condition.code.coding:SCTConditionCode | required | Condition/Problem/DiagnosisCodes |
Condition.code.coding:FFBCodesCT | required | KLConditionsAndTargetGroupsFFB |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses |
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 | [DK] tværorganisatoriskTilstandstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. |
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. |
subject | Σ | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt |
onset[x] | Σ | 0..1 | [DK] tværorganisatoriskTilstandstart | |
onsetDateTime | dateTime | |||
onsetAge | Age | |||
onsetPeriod | Period | |||
onsetRange | Range | |||
onsetString | string | |||
abatement[x] | C | 0..1 | [DK] tværorganisatoriskTilstandsafslutningstid | |
abatementDateTime | dateTime | |||
abatementAge | Age | |||
abatementPeriod | Period | |||
abatementRange | Range | |||
abatementString | string | |||
recordedDate | Σ | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid |
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig |
asserter | Σ | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig |
note | 0..* | Annotation | [DK] tværorganisatoriskTilstandFagligtNotat | |
author[x] | Σ | 0..1 | Reference(Practitioner) | Individual responsible for the annotation |
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) |
Documentation for this format |
Path | Conformance | ValueSet |
Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
Condition.verificationStatus | required | ConditionVerificationStatus |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses | ||||
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 | [DK] tværorganisatoriskTilstandstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
verificationStatus | ?!ΣC | 0..1 | CodeableConcept | [DK] tværorganisatoriskTilstandstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
category | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 0..* | Coding | [DK] tværorganisatoriskTilstandskode Slice: Unordered, Open by value:system | ||||
coding:FSIIIConditionCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandKoderFSIII (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:SCTConditionCode | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Condition/Problem/DiagnosisCodes (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:FFBCodesCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: KLTilstandeOgMålgrupperFFB (required) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ICD10codes | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.4.12 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ICPC2codes | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://kiap.dk/koder/icpc-2-dk | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | [DK] tværorganisatoriskTilstandsvurdering | ||||
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
subject | Σ | 1..1 | Reference(Patient) | [DK] tværorganisatoriskTilstandsubjekt | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
onset[x] | Σ | 0..1 | [DK] tværorganisatoriskTilstandstart | |||||
onsetDateTime | dateTime | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | C | 0..1 | [DK] tværorganisatoriskTilstandsafslutningstid | |||||
abatementDateTime | dateTime | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | [DK] tværorganisatoriskTilstandregistreringstid | ||||
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | [DK] tværorganisatoriskTilstandDokumentationsansvarlig | ||||
asserter | Σ | 0..1 | Reference(Practitioner) | [DK] tværorganisatoriskTilstandAnsvarlig | ||||
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 | [DK] tværorganisatoriskTilstandFagligtNotat | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
author[x] | Σ | 0..1 | Reference(Practitioner) | Individual responsible for the annotation | ||||
time | Σ | 0..1 | dateTime | When the annotation was made | ||||
text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
Documentation for this format |
Path | Conformance | ValueSet | ||||
Condition.language | preferred | CommonLanguages
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
Condition.verificationStatus | required | ConditionVerificationStatus | ||||
Condition.category | extensible | ConditionCategoryCodes | ||||
Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
Condition.code | example | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:FSIIIConditionCode | required | KLConditionCodesFSIII | ||||
Condition.code.coding:SCTConditionCode | required | Condition/Problem/DiagnosisCodes | ||||
Condition.code.coding:FFBCodesCT | required | KLConditionsAndTargetGroupsFFB | ||||
Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
Condition.stage.summary | example | ConditionStage | ||||
Condition.stage.type | example | ConditionStageType | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodes |
Other representations of profile: CSV, Excel, Schematron