MCC eCare Plan Draft Implementation Guide
0.1.0 - CI Build

MCC eCare Plan Draft Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

Resource Profile: Chronic Kidney Disease Condition

Defining URL:http://hl7.org/fhir/us/mcc/StructureDefinition/ChronicKidneyDisease
Version:0.1.0
Name:ChronicKidneyDiseaseCondition
Title:Chronic Kidney Disease Conditions
Status:Draft as of 2020-06-29
Definition:

This profile constrains US Core Condition to chronic kidney disease conditions and supporting information.

Publisher:HL7 International - Patient Care WG
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/mcc/StructureDefinition/ChronicKidneyDisease

This profile sets additional expectations for the US Core Condition profile to record, search, and fetch condition or diagnosis terms representing chronic kidney disease (CKD) conditions associated with a patient. In addition to the requirements set in the US Core Condition profile, conditionCode is bound to a chronic kidney disease condition or diagnosis value set and the Condition.onset and Condition.recordedDate are set to “must support ‘’. In addition the profile seeks to record, search, fetch and associate supporting evidence for the diagnosis or state of CKD. While not limiting the possible evidence asserted, the profile explicitly seeks to find and represent evidence of end stage renal disease by looking for assertions of stage 5 chronic kidney disease conditions, evidence the patient is receiving dialysis or has had a kidney transplant. In addition, evidence may be expressed within a lab result profile. CKD relevant lab results may also be expressed elsewhere in the Care Plan. If present, family history of chronic kidney disease may also exist as pertinent information in the evidence element. The profile leverages the “Condition-Due To’’ extension defined on the base condition resource, which contains a profile on condition “CKD Type or Cause”. The profile allows expression of the kidney disease stage either through a pre-coordinated ICD10 or SNOMED CT code in the “CKD All stages” profile or through the “Stage” backbone element where post-coordinated stage can be expressed. The MCC IG Draft 1.0 CKD Profile, allows, but does not define post- coordinated staging. If the backbone element where post-coordinated stage can be expressed is used, care must be taken that the condition.code and condition.stage do not conflict.

Chronic Kidney Disease Profile Relationship Diagram

Formal Views of Profile Content

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

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension

Fixed Value: http://hl7.org/fhir/StructureDefinition/condition-dueTo
.... value[x] 0..1CodeableConceptThe condition-dueTo extension may be used to represent causes of chronic kidney conditions.
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion (required)
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... recordedDate S0..1dateTimeDate record was first recorded
... evidence 0..*BackboneElementIn this CKD profile, supporting evidence may exist identifying end stage renal disease, CKD pertinent lab results, or identification of family history of CKD. The profile is not limited to the evidence profiles asserted.
.... detail 0..*(Slice Definition)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
..... detail:EndStageRenalDiseaseCondition S0..1Reference(End Stage Renal Conditions)The referenced profile constrains US Core Condition to end stage renal conditions.
Binding: (unbound) (required)
..... detail:RenalTransplant S0..1Reference(Renal Transplant Procedure)The referenced profile constrains US Core Procedure to renal transplant procedures.
..... detail:Dialysis S0..1Reference(Renal Dialysis)The referenced profile constrains US Core Procedure to renal dialysis procedures.
..... detail:ChronicKidneyDiseaseFamilyHistory S0..*Reference(Family Member History of Chronic Kidney Disease)The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions.
..... detail:EstimatedGlomerularFiltrationRate S0..*Reference(Estimated Glomerular Filtration Rate)The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results.
..... detail:SerumCreatinine S0..*Reference(Serum Creatinine)The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results.
..... detail:UrineAlbuminCreatinineRatio S0..*Reference(Urine Albumin Creatinine Ratio)The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results.
..... detail:BloodUreaNitrogen S0..*Reference(Blood Urea Nitrogen)Supporting information found elsewhere
..... detail:KidneyBiopsy S0..*Reference(Kidney Biopsy Procedure)The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension

Fixed Value: http://hl7.org/fhir/StructureDefinition/condition-dueTo
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uriidentifies the meaning of the extension
.... value[x] 0..1CodeableConceptThe condition-dueTo extension may be used to represent causes of chronic kidney conditions.
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion (required)
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code SΣ1..1CodeableConceptChronic Kidney Disease All Stages (1 through 5)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.159/expansion (required)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage I0..*BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example)
... evidence I0..*BackboneElementIn this CKD profile, supporting evidence may exist identifying end stage renal disease, CKD pertinent lab results, or identification of family history of CKD. The profile is not limited to the evidence profiles asserted.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example)
.... detail ΣI0..*(Slice Definition)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
..... detail:EndStageRenalDiseaseCondition SΣI0..1Reference(End Stage Renal Conditions)The referenced profile constrains US Core Condition to end stage renal conditions.
..... detail:RenalTransplant SΣI0..1Reference(Renal Transplant Procedure)The referenced profile constrains US Core Procedure to renal transplant procedures.
..... detail:Dialysis SΣI0..1Reference(Renal Dialysis)The referenced profile constrains US Core Procedure to renal dialysis procedures.
..... detail:ChronicKidneyDiseaseFamilyHistory SΣI0..*Reference(Family Member History of Chronic Kidney Disease)The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions.
..... detail:EstimatedGlomerularFiltrationRate SΣI0..*Reference(Estimated Glomerular Filtration Rate)The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results.
..... detail:SerumCreatinine SΣI0..*Reference(Serum Creatinine)The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results.
..... detail:UrineAlbuminCreatinineRatio SΣI0..*Reference(Urine Albumin Creatinine Ratio)The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results.
..... detail:BloodUreaNitrogen SΣI0..*Reference(Blood Urea Nitrogen)Supporting information found elsewhere
..... detail:KidneyBiopsy SΣI0..*Reference(Kidney Biopsy Procedure)The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report.
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... extension:resource-pertainsToGoal 0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... clinicalStatus ?!ΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!ΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code Σ1..1CodeableConceptChronic Kidney Disease All Stages (1 through 5)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.159/expansion (required)
... subject Σ1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] Σ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... evidence I0..*BackboneElementIn this CKD profile, supporting evidence may exist identifying end stage renal disease, CKD pertinent lab results, or identification of family history of CKD. The profile is not limited to the evidence profiles asserted.
.... detail:EndStageRenalDiseaseCondition ΣI0..1Reference(End Stage Renal Conditions)The referenced profile constrains US Core Condition to end stage renal conditions.
.... detail:RenalTransplant ΣI0..1Reference(Renal Transplant Procedure)The referenced profile constrains US Core Procedure to renal transplant procedures.
.... detail:Dialysis ΣI0..1Reference(Renal Dialysis)The referenced profile constrains US Core Procedure to renal dialysis procedures.
.... detail:ChronicKidneyDiseaseFamilyHistory ΣI0..*Reference(Family Member History of Chronic Kidney Disease)The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions.
.... detail:EstimatedGlomerularFiltrationRate ΣI0..*Reference(Estimated Glomerular Filtration Rate)The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results.
.... detail:SerumCreatinine ΣI0..*Reference(Serum Creatinine)The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results.
.... detail:UrineAlbuminCreatinineRatio ΣI0..*Reference(Urine Albumin Creatinine Ratio)The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results.
.... detail:BloodUreaNitrogen ΣI0..*Reference(Blood Urea Nitrogen)Supporting information found elsewhere
.... detail:KidneyBiopsy ΣI0..*Reference(Kidney Biopsy Procedure)The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report.

doco Documentation for this format

Differential View

This structure is derived from USCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension

Fixed Value: http://hl7.org/fhir/StructureDefinition/condition-dueTo
.... value[x] 0..1CodeableConceptThe condition-dueTo extension may be used to represent causes of chronic kidney conditions.
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion (required)
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.
Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... recordedDate S0..1dateTimeDate record was first recorded
... evidence 0..*BackboneElementIn this CKD profile, supporting evidence may exist identifying end stage renal disease, CKD pertinent lab results, or identification of family history of CKD. The profile is not limited to the evidence profiles asserted.
.... detail 0..*(Slice Definition)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
..... detail:EndStageRenalDiseaseCondition S0..1Reference(End Stage Renal Conditions)The referenced profile constrains US Core Condition to end stage renal conditions.
Binding: (unbound) (required)
..... detail:RenalTransplant S0..1Reference(Renal Transplant Procedure)The referenced profile constrains US Core Procedure to renal transplant procedures.
..... detail:Dialysis S0..1Reference(Renal Dialysis)The referenced profile constrains US Core Procedure to renal dialysis procedures.
..... detail:ChronicKidneyDiseaseFamilyHistory S0..*Reference(Family Member History of Chronic Kidney Disease)The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions.
..... detail:EstimatedGlomerularFiltrationRate S0..*Reference(Estimated Glomerular Filtration Rate)The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results.
..... detail:SerumCreatinine S0..*Reference(Serum Creatinine)The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results.
..... detail:UrineAlbuminCreatinineRatio S0..*Reference(Urine Albumin Creatinine Ratio)The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results.
..... detail:BloodUreaNitrogen S0..*Reference(Blood Urea Nitrogen)Supporting information found elsewhere
..... detail:KidneyBiopsy S0..*Reference(Kidney Biopsy Procedure)The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*USCoreConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:Condition-dueTo 0..*ExtensionExtension

Fixed Value: http://hl7.org/fhir/StructureDefinition/condition-dueTo
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uriidentifies the meaning of the extension
.... value[x] 0..1CodeableConceptThe condition-dueTo extension may be used to represent causes of chronic kidney conditions.
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion (required)
... extension:resource-pertainsToGoal S0..*ExtensionThe resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.

Fixed Value: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code SΣ1..1CodeableConceptChronic Kidney Disease All Stages (1 through 5)
Binding: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.159/expansion (required)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] I0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage I0..*BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example)
... evidence I0..*BackboneElementIn this CKD profile, supporting evidence may exist identifying end stage renal disease, CKD pertinent lab results, or identification of family history of CKD. The profile is not limited to the evidence profiles asserted.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example)
.... detail ΣI0..*(Slice Definition)Condition.evidence allows asserting an encoded term code OR pointing to a profile where more detail is available. The use of referring to detail through referred profiles is encouraged.
Slice: Unordered, Open by profile:resolve()
..... detail:EndStageRenalDiseaseCondition SΣI0..1Reference(End Stage Renal Conditions)The referenced profile constrains US Core Condition to end stage renal conditions.
..... detail:RenalTransplant SΣI0..1Reference(Renal Transplant Procedure)The referenced profile constrains US Core Procedure to renal transplant procedures.
..... detail:Dialysis SΣI0..1Reference(Renal Dialysis)The referenced profile constrains US Core Procedure to renal dialysis procedures.
..... detail:ChronicKidneyDiseaseFamilyHistory SΣI0..*Reference(Family Member History of Chronic Kidney Disease)The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions.
..... detail:EstimatedGlomerularFiltrationRate SΣI0..*Reference(Estimated Glomerular Filtration Rate)The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results.
..... detail:SerumCreatinine SΣI0..*Reference(Serum Creatinine)The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results.
..... detail:UrineAlbuminCreatinineRatio SΣI0..*Reference(Urine Albumin Creatinine Ratio)The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results.
..... detail:BloodUreaNitrogen SΣI0..*Reference(Blood Urea Nitrogen)Supporting information found elsewhere
..... detail:KidneyBiopsy SΣI0..*Reference(Kidney Biopsy Procedure)The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report.
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Max Binding: AllLanguages
Condition.extension:Condition-dueTo.value[x]requiredhttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleUSCoreConditionCategoryCodes
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.coderequiredhttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.159/expansion
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdPathDetailsRequirements
con-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4ConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5ConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4ConditionIf 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()
dom-5ConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ConditionA resource should have narrative for robust management
: text.`div`.exists()
us-core-1ConditionA code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()
ele-1Condition.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:Condition-dueToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extension:Condition-dueToMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:Condition-dueTo.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extension:Condition-dueTo.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extension:Condition-dueTo.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.extension:resource-pertainsToGoalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.extension:resource-pertainsToGoalMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.clinicalStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.verificationStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.severityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.onset[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.abatement[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.recordedDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.asserterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.stage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.stage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stage.summaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.assessmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.stage.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.evidence.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.evidence.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Condition.evidence.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.evidence.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:EndStageRenalDiseaseConditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:RenalTransplantAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:DialysisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:ChronicKidneyDiseaseFamilyHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:EstimatedGlomerularFiltrationRateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:SerumCreatinineAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:UrineAlbuminCreatinineRatioAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:BloodUreaNitrogenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.evidence.detail:KidneyBiopsyAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Condition.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())