Scope and usage

The KLCommonCareSocialCondition may be instatiated whenever a condition is found and registered for citizens in Danish municipalities. In social care, conditions are also referred to as subthemes (undertemaer).

Conditions are always defined by Condition.code, which may originate from FSIII or FFB. In addition, a SNOMED CT code may be added either to improve understanding for those outside the Danish municipalities, or to express more detailed content.

Condition.severity.coding has as valid values the functioning ability levels (FFB funktionsevneniveau) or funtional levels (FSIII funktionsniveau). Make sure that FFB subthemes use FFB functioning ability levels and FSIII conditions use FSIII functional levels - the codes have somewhat the same wording, but they do not have the same meaning.

Condition.recordedDate is the date where the condition was first recorded, NOT the date where the problem first known to be present.

Condition.clinicalStatus should be populated with the value “active” if the citizen has the condition, and inactive if the citizen no longer have the condition. Condition.verificationStatus should be set to “unconfirmed”, if a note is associated with a condition code, which is not already active and confirmed (this is specific to FFB). In most other use cases, Condition.verificationStatus should be “confirmed”. clinicalStatus is mandatory, and it is a good idea to always provide the verificationStatus. If not populated, the condition is assumed to be “confirmed”.

Conditions are related to a professional context (through its code). These are the different contexts in which codelists of conditions are formulated:

• Home nursing SUL §138 (FSIII)
• Home care SEL §83, §83a, §84, §86 (FSIII)
• Prevention SUL §119 (FSIII)
• Training SUL §140 (FSIII)
• Specialized social care SEL §85, §103, §104, §107, §108, and Almenboligloven §105. (FFB)

Condition.category is, in this implementation, used as a way to determine whether the condition is in focus in a professional context. In focus means that this condition is solely or partially the reason why interventions are performed in the professional context. If a condition is “in focus” Condition.category is populated with the value “problem-list-item”. An empty Condition.category means that the focus have not been considered (if it is the first version of a condition). If the latter is the case, it might be difficult to determine whether a condition have been ended.

Ending a condition have two meanings. The first is that the citizen no longer has the condition e.g. a pressure ulcer has healed. In this case, Condition.clinicalStatus=inactive and Condition.abatementTime is the date where the condition was no longer a problem. The second meaning of “ended” is that the condition falls out of focus in a professional context e.g. if the citizen moves, or another professional group takes over the care for the citizen. In this case, the Condition.category looses its “problem-list-item” flag. The idea is to state that from a citizen viewpoint the condition has not changed, but in this professional context it is no longer in focus.

Condition.code.text holds a short description or evaluation of the condition including how serious it is. The attribute is mandatory for the home nursing context. The attribute should only be changed, if the condition significatly changes e.g. a pressure ulcer that is significantly worse or better. All other text descriptions and notes should be placed in Condition.note.text. For most use cases, it is important that notes explicitely state the author in Condition.note.author. Special care should be taken if you want to explicitely state the source of the information, as it is explicitely done in FFB for ‘activity and participation conditions’. It is recommended that ‘information from the citizen’, ‘information from others’ and ‘employee evaluation’(sagsbehandlers bemærkning) are documented using three separate Condition.note.text and with the correct associated code in Condition.note:extension.matterOfInterestInformer. The employee evaluation should be documented in short form in Condition.code.text.

Condition.extension:dueTo is the reason for the condition, which is an optional attribute in FSIII. It references either KLCommonCareSocialCondition or KLCommonCareSocialFocusCondition.

Condition follow-up is documented using Condition.extension:followUpEncounter, which points to a future encounter, with Encounter.type= “opfølgning”.

Condition.evidence.detail may hold a reference to both KLCommonCareSocialMatterOfInterest and KLCommonCareSocialEvaluation. Associated KLCommonCareSocialEvaluations are previous follow-up results. Associated KLCommonCareSocialMatterOfInterest’s are information about the citizen recorded under the headings defined by FFB Themes, Areas (FSIII områder), which are related to this specific condition. E.g. if the condition is “J3.4 - Færden i forskellige omgivelser” then there might be associated information recorded as a KLCommonCareSocialMatterOfInterest within the code “J3 - Mobilitet”.

Conditions may have several different versions. Those that are important from a municipality viewpoint may be followed using the extension:EventHistory.

Condition.extension:conditionLastAssertedDate holds information about the last date a condition was confirmed valid in its current state. Eg. with its current clinical- and verification status, and severity. In municipalities, this is often the date of the last performed follow-up, given that the follow-up has included an active evaluation of this particular condition. Note that the condition need not have changed (e.g. severity or status) to have a new conditionLastAssertedDate

Conversions between Danish information model and FHIR-profile

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

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

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
clinicalStatus		1..1	CodeableConcept	[DK] tilstandsstatus
verificationStatus		0..1	CodeableConcept	[DK] tilstandsstatus
category
coding		0..*	Coding	[DK] tilstandsfokus
severity	?!	0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (required)
coding		0..*	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis
Slices for coding		0..*	Coding	[DK] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode		0..1	Coding	[DK] FSIII tilstandskode Binding: KLTilstandKoderFSIII (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:FFBConditionCode		0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SCTConditionCode		0..1	Coding	[DK] SNOMED CT tilstandskode Binding: Condition/Problem/DiagnosisCodes (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
text		0..1	string	[DK] tilstandsvurdering
subject		1..1	Reference(Citizen)	[DK] tilstandssubjekt
abatement[x]		0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate		0..1	dateTime	[DK] tilstandsoprettelsestid
asserter		0..1	Reference(Practioner)	[DK] tilstandsansvarlig
evidence
detail		0..*	Reference(MatterOfInterest | FollowUp)	[DK] tilstandsevidens (herunder tilstandOplysning og tilstandOpfølgningsresultat)
note
matterOfInterestInformer		0..1	CodeableConcept	[DK] tilstandsInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
author[x]		0..1	Reference(Practioner)	Individual responsible for the annotation
text		1..1	markdown	[DK] tilstandFagligtNotat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.severity	required	KLSeverities
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (required)
coding	Σ	0..*	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	0..*	Coding	[DK] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DK] FSIII tilstandskode Binding: KLTilstandKoderFSIII (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:FFBConditionCode	Σ	0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SCTConditionCode	Σ	0..1	Coding	[DK] SNOMED CT tilstandskode Binding: Condition/Problem/DiagnosisCodes (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
text	Σ	0..1	string	[DK] tilstandsvurdering
subject	Σ	1..1	Reference(Citizen)	[DK] tilstandssubjekt
abatement[x]	C	0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate	Σ	0..1	dateTime	[DK] tilstandsoprettelsestid
asserter	Σ	0..1	Reference(Practioner)	[DK] tilstandsansvarlig
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.severity	required	KLSeverities
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] tilstandsfokus
text	Σ	0..1	string	Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (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
coding	Σ	0..*	Coding	[DK] tilstandssværhedsgrad
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..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] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DK] FSIII tilstandskode 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:FFBConditionCode	Σ	0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (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:SCTConditionCode	Σ	0..1	Coding	[DK] SNOMED CT tilstandskode 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
text	Σ	0..1	string	[DK] tilstandsvurdering
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	Σ	1..1	Reference(Citizen)	[DK] tilstandssubjekt
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate	Σ	0..1	dateTime	[DK] tilstandsoprettelsestid
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practioner)	[DK] tilstandsansvarlig
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(MatterOfInterest | FollowUp)	[DK] tilstandsevidens (herunder tilstandOplysning og tilstandOpfølgningsresultat)
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] tilstandsInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
author[x]	Σ	0..1	Reference(Practioner)	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	[DK] tilstandFagligtNotat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	required	KLSeverities
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
clinicalStatus		1..1	CodeableConcept	[DK] tilstandsstatus
verificationStatus		0..1	CodeableConcept	[DK] tilstandsstatus
category
coding		0..*	Coding	[DK] tilstandsfokus
severity	?!	0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (required)
coding		0..*	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis
Slices for coding		0..*	Coding	[DK] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode		0..1	Coding	[DK] FSIII tilstandskode Binding: KLTilstandKoderFSIII (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:FFBConditionCode		0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SCTConditionCode		0..1	Coding	[DK] SNOMED CT tilstandskode Binding: Condition/Problem/DiagnosisCodes (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
text		0..1	string	[DK] tilstandsvurdering
subject		1..1	Reference(Citizen)	[DK] tilstandssubjekt
abatement[x]		0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate		0..1	dateTime	[DK] tilstandsoprettelsestid
asserter		0..1	Reference(Practioner)	[DK] tilstandsansvarlig
evidence
detail		0..*	Reference(MatterOfInterest | FollowUp)	[DK] tilstandsevidens (herunder tilstandOplysning og tilstandOpfølgningsresultat)
note
matterOfInterestInformer		0..1	CodeableConcept	[DK] tilstandsInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
author[x]		0..1	Reference(Practioner)	Individual responsible for the annotation
text		1..1	markdown	[DK] tilstandFagligtNotat
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.severity	required	KLSeverities
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	1..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (required)
coding	Σ	0..*	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	0..*	Coding	[DK] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DK] FSIII tilstandskode Binding: KLTilstandKoderFSIII (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:FFBConditionCode	Σ	0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.22
coding:SCTConditionCode	Σ	0..1	Coding	[DK] SNOMED CT tilstandskode Binding: Condition/Problem/DiagnosisCodes (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
text	Σ	0..1	string	[DK] tilstandsvurdering
subject	Σ	1..1	Reference(Citizen)	[DK] tilstandssubjekt
abatement[x]	C	0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate	Σ	0..1	dateTime	[DK] tilstandsoprettelsestid
asserter	Σ	0..1	Reference(Practioner)	[DK] tilstandsansvarlig
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.severity	required	KLSeverities
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	Condition/Problem/DiagnosisCodes

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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
eventHistory	Σ	0..*	Reference(Provenance)	[DK] tilstandsændringshistorie URL: http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
dueTo	Σ	0..1	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	[DK] tilstandsårsag URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-dueTo"
value[x]		1..1	Reference(Condition | FocusCondition)	Value of extension
followUpEncounter	Σ	0..1	Reference(Encounter)	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
conditionLastAssertedDate	Σ	0..1	dateTime	[DK] tilstandSidstVurderetTid URL: http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] tilstandsfokus
text	Σ	0..1	string	Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLSværhedgrader (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
coding	Σ	0..*	Coding	[DK] tilstandssværhedsgrad
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..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] tilstandskode Slice: Unordered, Open by value:system
coding:FSIIIConditionCode	Σ	0..1	Coding	[DK] FSIII tilstandskode 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:FFBConditionCode	Σ	0..1	Coding	[DK] FFB undertemakode Binding: KLTilstandKoderFFB (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:SCTConditionCode	Σ	0..1	Coding	[DK] SNOMED CT tilstandskode 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
text	Σ	0..1	string	[DK] tilstandsvurdering
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	Σ	1..1	Reference(Citizen)	[DK] tilstandssubjekt
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1	dateTime	[DK] tilstandsafslutningstid
recordedDate	Σ	0..1	dateTime	[DK] tilstandsoprettelsestid
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practioner)	[DK] tilstandsansvarlig
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(MatterOfInterest | FollowUp)	[DK] tilstandsevidens (herunder tilstandOplysning og tilstandOpfølgningsresultat)
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
matterOfInterestInformer		0..1	CodeableConcept	[DK] tilstandsInformant URL: http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer Binding: KLKildeTilOplysningFFB (required)
author[x]	Σ	0..1	Reference(Practioner)	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	[DK] tilstandFagligtNotat
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	required	KLSeverities
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:FSIIIConditionCode	required	KLConditionCodesFSIII
Condition.code.coding:FFBConditionCode	required	KLConditionCodesFFB
Condition.code.coding:SCTConditionCode	required	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: 2 elements (3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Condition (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialCondition)
• FocusCondition (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialFocusCondition)
• Citizen (http://fhir.kl.dk/core/StructureDefinition/KLCommonCitizen)
• Practioner (http://fhir.kl.dk/core/StructureDefinition/KLCommonPractitioner)
• MatterOfInterest (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialMatterOfInterest)
• FollowUp (http://fhir.kl.dk/core/StructureDefinition/KLCommonCareSocialFollowUp)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/core/StructureDefinition/ExtEventHist
• http://hl7.org/fhir/StructureDefinition/condition-dueTo
• http://fhir.kl.dk/core/StructureDefinition/FollowUpEncounter
• http://fhir.kl.dk/core/StructureDefinition/ConditionLastAssertedDate
• http://fhir.kl.dk/core/StructureDefinition/MatterOfInterestInformer

Slices

This structure defines the following Slices:

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