Digital Child Health Service - Events Catalogue

CareConnect-DCH-InformationFormat-Condition-1

This Condition resource records detailed information about conditions or diagnoses recognised by a clinician, with further constraints applied to represent requirements for information in a specific format in order to provide accessibility.

NameCard.TypeDescription & Constraints
..ConditionDomainResourceDetailed information about conditions, problems or diagnoses

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

...episode0..1ExtensionThe episodicity status of a condition
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-ConditionEpisode-1

...related0..*ExtensionRelated condition
Extension https://fhir.nhs.uk/StructureDefinition/Extension-CareConnect-DCH-ConditionRelationship-1

...identifier0..*IdentifierExternal Ids for this condition

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri

....value1..1StringThe value that is unique
Example Value 123456

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

.....start0..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1Reference (CareConnect-DCH-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...patient1..1Reference (CareConnect-DCH-Patient-1)Who has the condition?

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...encounter1..1Reference (CareConnect-DCH-Encounter-1)Encounter when condition first asserted

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...asserter1..1Reference (CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Patient-1)Person who asserts this condition

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...dateRecorded1..1DateWhen first entered

...code1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding Identification of the condition or diagnosis. (http://hl7.org/fhir/ValueSet/condition-code)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding1..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)1..1CodingThe information format requirement
Binding The information format requirement (https://fhir.nhs.uk/ValueSet/DCH-InformationFormat-1)
Binding Strength Required

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...category1..1CodeableConceptcomplaint | symptom | finding | diagnosis | problem | need
Binding A category assigned to the condition. (https://fhir.hl7.org.uk/ValueSet/CareConnect-ConditionCategory-1)
Binding Strength Extensible

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system1..1UriIdentity of the terminology system

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

....text0..1StringPlain text representation of the concept

...clinicalStatus0..1Codeactive | inactive | relapse | remission | resolved
Binding The clinical status of the condition or diagnosis. (https://fhir.hl7.org.uk/ValueSet/CareConnect-ConditionClinicalStatus-1)
Binding Strength Required

...verificationStatus1..1Codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding The verification status to support or decline the clinical status of the condition or diagnosis. (http://hl7.org/fhir/ValueSet/condition-ver-status)
Binding Strength Required

...severity0..1CodeableConceptSubjective severity of condition
Binding A subjective assessment of the severity of the condition as evaluated by the clinician. (http://hl7.org/fhir/ValueSet/condition-severity)
Binding Strength Extensible

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display.
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...onsetDateTime0..1DateTimeEstimated or actual date, date-time, or age

...abatement[x]0..1DateTime | Age | Boolean | Period | Range | StringIf/when in resolution/remission

...stage0..1BackboneElementStage/grade, usually assessed formally

....id0..1Idxml:id (or equivalent in JSON)

....summary0..1CodeableConceptSimple summary (disease specific)
Binding Codes describing condition stages (e.g. Cancer stages). (http://hl7.org/fhir/ValueSet/condition-stage)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....assessment0..*Reference (ClinicalImpression | DiagnosticReport | CareConnect-DCH-Observation-1)Formal record of assessment

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...evidence0..*BackboneElementSupporting evidence

....id0..1Idxml:id (or equivalent in JSON)

....code0..1CodeableConceptManifestation/symptom
Binding Codes that describe the manifestation or symptoms of a condition. (http://hl7.org/fhir/ValueSet/manifestation-or-symptom)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....detail0..*Reference (Resource)Supporting information found elsewhere

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...bodySite0..*CodeableConceptAnatomical location, if relevant
Binding Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...notes0..1StringAdditional information about the Condition

Name Type Description & Constraints
. . Extension-CareConnect-ConditionEpisode-1 Extension The episodicity status of a condition.
. . Extension-CareConnect-DCH-ConditionRelationship-1 Extension A reference to another related condition (target) whose relationship is defined by the relationship type code.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.