Scope and usage

The Condition may be instatiated whenever a condition is found and registered for citizens in Danish municipalities.

Conditions are always defined by Condition.code, which may originate from FSIII.

Condition.severity.coding has as valid values the funtional level (FSIII funktionsniveau).

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. 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)

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 means 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. This does not necessarily mean that the citizen no longer has the condition. When a condition is ended, the Condition.category looses its "problem-list-item" flag. The idea is to state that from a citizen viewpoint the condition has not nessesarily changed, but in this professional context it is no longer in focus. It follows that it is valid to close a condition with Condition.clinicalStatus = active and an empty Condition.category.

Condition follow-up is documented using Condition.extension:followUpEncounter, which points to a future encounter, with Encounter.type = "opfølgning". However, the followUpEncounter-extension will be depricated in the next version of this implementation guide. In the new version, GeneralEncounter holds a reference to the Condition.

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 specificerer 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	C	0..*	Condition	Detailed information about conditions, problems or diagnoses klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0
clinicalStatus		0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0
display		0..0
userSelected		0..0
text		0..0
verificationStatus	S	0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0
display		0..0
userSelected		0..0
text		0..0
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis
coding		1..1	Coding	[DK] tilstandsfokus
version		0..0
code		0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
display		0..0
userSelected		0..0
text		0..0
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding		1..1	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding		1..1	Coding	[DK] FSIII tilstandskode
bodySite		0..0
subject		1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
encounter		0..0
onset[x]		0..0
abatement[x]		0..0
recordedDate		1..1	dateTime	[DK] tilstandsoprettelsestid
recorder		0..0
asserter		0..0
stage		0..0
evidence		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
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
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	Σ	1..1	Coding	[DK] tilstandsfokus
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If 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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
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
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status 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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status 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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
category	S	0..1	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	1..1	Coding	[DK] tilstandsfokus
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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (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	1..1	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: FSIIICareConditions (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	1..1	Coding	[DK] FSIII tilstandskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If 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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
identifier		0..0
clinicalStatus		0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0
display		0..0
userSelected		0..0
text		0..0
verificationStatus	S	0..1	CodeableConcept	[DK] tilstandsstatus
coding		1..1	Coding	Code defined by a terminology system
version		0..0
display		0..0
userSelected		0..0
text		0..0
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis
coding		1..1	Coding	[DK] tilstandsfokus
version		0..0
code		0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
display		0..0
userSelected		0..0
text		0..0
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding		1..1	Coding	[DK] tilstandssværhedsgrad
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding		1..1	Coding	[DK] FSIII tilstandskode
bodySite		0..0
subject		1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
encounter		0..0
onset[x]		0..0
abatement[x]		0..0
recordedDate		1..1	dateTime	[DK] tilstandsoprettelsestid
recorder		0..0
asserter		0..0
stage		0..0
evidence		0..0
note		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
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
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	Σ	1..1	Coding	Code defined by a terminology system
category	S	0..1	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	Σ	1..1	Coding	[DK] tilstandsfokus
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (required)
coding	Σ	1..1	Coding	[DK] tilstandssværhedsgrad
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: FSIIICareConditions (required)
coding	Σ	1..1	Coding	[DK] FSIII tilstandskode
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If 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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing: The severity is mandatory for home care and not allowed for nursing conditions
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
followUpEncounter		0..1	Reference(CareEncounter) {b}	[DK] tilstandsplanlagtOpfølgning URL: http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionClinicalStatusCodes (required): The clinical status 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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	[DK] tilstandsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status 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
coding	Σ	1..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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
category	S	0..1	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	1..1	Coding	[DK] tilstandsfokus
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	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: problem-list-item
severity		0..1	CodeableConcept	Subjective severity of condition Binding: KLFunktionsevneniveauFSIII (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	1..1	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: FSIIICareConditions (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	1..1	Coding	[DK] FSIII tilstandskode
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] tilstandssubjekt
recordedDate	Σ	1..1	dateTime	[DK] tilstandsoprettelsestid
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	KLSeveritiesFSIII http://fhir.kl.dk/term/ValueSet/KLSeveritiesFSIII
Condition.code	required	FSIIICareConditions http://fhir.kl.dk/gateway/ValueSet/FSIIICareConditions from this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.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-4	error	Condition	If 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-5	error	Condition	Condition.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-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If 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-4	error	Condition	If 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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
klgateway-severity-mandatory-in-home-care-not-allowed-in-nursing	error	Condition	The severity is mandatory for home care and not allowed for nursing conditions : (severity.exists() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesHomeCare')) or (severity.empty() and code.coding.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionCodesNursing'))

This structure is derived from Condition

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 22 elements

Structures

This structure refers to these other structures:

• CareCitizen (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-citizen)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-follow-up-encounter-extension