MCC eCare Plan Draft Implementation Guide
0.1.0 - CI Build
US
MCC eCare Plan Draft Implementation Guide
0.1.0 - CI Build
US
MCC eCare Plan Draft Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/mcc/StructureDefinition/ChronicKidneyDisease | Version: 0.1.0 | |||
| Draft as of 2020-06-29 | Computable Name: ChronicKidneyDiseaseCondition | |||
This profile constrains US Core Condition to chronic kidney disease conditions and supporting information.
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.
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Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreCondition
Summary
Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from USCoreCondition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  extension:Condition-dueTo | 0..* | Extension | Extension | |
   url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |
  value[x] | 0..1 | CodeableConcept | The 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): Chronic Kidney Disease Type or Cause | |
| extension:resource-pertainsToGoal | S | 0..* | Extension | The 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. |
| url | S | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" |
 value[x] | S | 1..1 | Reference() | Reference to a Goal |
| code | 1..1 | CodeableConcept | Chronic 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): This set of values contains diagnosis terms representing All Stages (1 or 2 or 3 or 4 or 5) of chronic kidney disease. | |
| onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| recordedDate | S | 0..1 | dateTime | Date record was first recorded |
 evidence | 0..* | BackboneElement | In 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. | |
  Slices for detail | 0..* | Reference(Resource) | 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 | S | 0..1 | Reference(End Stage Renal Conditions) | The referenced profile constrains US Core Condition to end stage renal conditions. Binding: (unbound) (required) |
| detail:RenalTransplant | S | 0..1 | Reference(Renal Transplant Procedure) | The referenced profile constrains US Core Procedure to renal transplant procedures. |
| detail:Dialysis | S | 0..1 | Reference(Renal Dialysis) | The referenced profile constrains US Core Procedure to renal dialysis procedures. |
| detail:ChronicKidneyDiseaseFamilyHistory | S | 0..* | Reference(Family Member History of Chronic Kidney Disease) | The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions. |
| detail:EstimatedGlomerularFiltrationRate | S | 0..* | Reference(Estimated Glomerular Filtration Rate) | The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results. |
| detail:SerumCreatinine | S | 0..* | Reference(Serum Creatinine) | The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results. |
| detail:UrineAlbuminCreatinineRatio | S | 0..* | Reference(Urine Albumin Creatinine Ratio) | The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results. |
| detail:BloodUreaNitrogen | S | 0..* | Reference(Blood Urea Nitrogen) | Supporting information found elsewhere |
 detail:KidneyBiopsy | S | 0..* | Reference(Kidney Biopsy Procedure) | The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report. |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses |
 id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| 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 | |
| extension:Condition-dueTo | 0..* | Extension | Extension | |
| 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 | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |
| value[x] | 0..1 | CodeableConcept | The 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): Chronic Kidney Disease Type or Cause | |
| extension:resource-pertainsToGoal | S | 0..* | Extension | The 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. |
| 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 | |
| url | S | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" |
| value[x] | S | 1..1 | Reference() | Reference to a Goal |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus | ?!SΣI | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| category | SI | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
| code | SΣ | 1..1 | CodeableConcept | Chronic 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): This set of values contains diagnosis terms representing All Stages (1 or 2 or 3 or 4 or 5) of chronic kidney disease. |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
 onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
 onsetString | string | |||
| abatement[x] | I | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementAge | Age | |||
| abatementPeriod | Period | |||
| abatementRange | Range | |||
| abatementString | string | |||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded |
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition |
| asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition |
| stage | I | 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 | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
| assessment | I | 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 | I | 0..* | BackboneElement | In 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..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 | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. |
| Slices for detail | ΣI | 0..* | Reference(Resource) | 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 | SΣI | 0..1 | Reference(End Stage Renal Conditions) | The referenced profile constrains US Core Condition to end stage renal conditions. |
| detail:RenalTransplant | SΣI | 0..1 | Reference(Renal Transplant Procedure) | The referenced profile constrains US Core Procedure to renal transplant procedures. |
| detail:Dialysis | SΣI | 0..1 | Reference(Renal Dialysis) | The referenced profile constrains US Core Procedure to renal dialysis procedures. |
| detail:ChronicKidneyDiseaseFamilyHistory | SΣI | 0..* | Reference(Family Member History of Chronic Kidney Disease) | The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions. |
| detail:EstimatedGlomerularFiltrationRate | SΣI | 0..* | Reference(Estimated Glomerular Filtration Rate) | The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results. |
| detail:SerumCreatinine | SΣI | 0..* | Reference(Serum Creatinine) | The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results. |
| detail:UrineAlbuminCreatinineRatio | SΣI | 0..* | Reference(Urine Albumin Creatinine Ratio) | The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results. |
| detail:BloodUreaNitrogen | SΣI | 0..* | Reference(Blood Urea Nitrogen) | Supporting information found elsewhere |
| detail:KidneyBiopsy | SΣI | 0..* | Reference(Kidney Biopsy Procedure) | The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report. |
| note | 0..* | Annotation | Additional information about the Condition | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses |
| extension:resource-pertainsToGoal | 0..* | Extension | The 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. | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" | |
| value[x] | 1..1 | Reference() | Reference to a Goal | |
| clinicalStatus | ?!ΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus | ?!ΣI | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| category | I | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) |
| code | Σ | 1..1 | CodeableConcept | Chronic 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): This set of values contains diagnosis terms representing All Stages (1 or 2 or 3 or 4 or 5) of chronic kidney disease. |
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| onset[x] | Σ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded |
| evidence | I | 0..* | BackboneElement | In 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 | ΣI | 0..1 | Reference(End Stage Renal Conditions) | The referenced profile constrains US Core Condition to end stage renal conditions. |
| detail:RenalTransplant | ΣI | 0..1 | Reference(Renal Transplant Procedure) | The referenced profile constrains US Core Procedure to renal transplant procedures. |
| detail:Dialysis | ΣI | 0..1 | Reference(Renal Dialysis) | The referenced profile constrains US Core Procedure to renal dialysis procedures. |
| detail:ChronicKidneyDiseaseFamilyHistory | ΣI | 0..* | Reference(Family Member History of Chronic Kidney Disease) | The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions. |
| detail:EstimatedGlomerularFiltrationRate | ΣI | 0..* | Reference(Estimated Glomerular Filtration Rate) | The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results. |
| detail:SerumCreatinine | ΣI | 0..* | Reference(Serum Creatinine) | The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results. |
| detail:UrineAlbuminCreatinineRatio | ΣI | 0..* | Reference(Urine Albumin Creatinine Ratio) | The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results. |
| detail:BloodUreaNitrogen | ΣI | 0..* | Reference(Blood Urea Nitrogen) | Supporting information found elsewhere |
| detail:KidneyBiopsy | ΣI | 0..* | Reference(Kidney Biopsy Procedure) | The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report. |
| Documentation for this format | ||||
This structure is derived from USCoreCondition
Summary
Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreCondition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:Condition-dueTo | 0..* | Extension | Extension | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |
| value[x] | 0..1 | CodeableConcept | The 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): Chronic Kidney Disease Type or Cause | |
| extension:resource-pertainsToGoal | S | 0..* | Extension | The 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. |
| url | S | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" |
| value[x] | S | 1..1 | Reference() | Reference to a Goal |
| code | 1..1 | CodeableConcept | Chronic 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): This set of values contains diagnosis terms representing All Stages (1 or 2 or 3 or 4 or 5) of chronic kidney disease. | |
| onset[x] | S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| recordedDate | S | 0..1 | dateTime | Date record was first recorded |
| evidence | 0..* | BackboneElement | In 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. | |
| Slices for detail | 0..* | Reference(Resource) | 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 | S | 0..1 | Reference(End Stage Renal Conditions) | The referenced profile constrains US Core Condition to end stage renal conditions. Binding: (unbound) (required) |
| detail:RenalTransplant | S | 0..1 | Reference(Renal Transplant Procedure) | The referenced profile constrains US Core Procedure to renal transplant procedures. |
| detail:Dialysis | S | 0..1 | Reference(Renal Dialysis) | The referenced profile constrains US Core Procedure to renal dialysis procedures. |
| detail:ChronicKidneyDiseaseFamilyHistory | S | 0..* | Reference(Family Member History of Chronic Kidney Disease) | The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions. |
| detail:EstimatedGlomerularFiltrationRate | S | 0..* | Reference(Estimated Glomerular Filtration Rate) | The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results. |
| detail:SerumCreatinine | S | 0..* | Reference(Serum Creatinine) | The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results. |
| detail:UrineAlbuminCreatinineRatio | S | 0..* | Reference(Urine Albumin Creatinine Ratio) | The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results. |
| detail:BloodUreaNitrogen | S | 0..* | Reference(Blood Urea Nitrogen) | Supporting information found elsewhere |
| detail:KidneyBiopsy | S | 0..* | Reference(Kidney Biopsy Procedure) | The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report. |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| 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 | |
| extension:Condition-dueTo | 0..* | Extension | Extension | |
| 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 | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |
| value[x] | 0..1 | CodeableConcept | The 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): Chronic Kidney Disease Type or Cause | |
| extension:resource-pertainsToGoal | S | 0..* | Extension | The 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. |
| 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 | |
| url | S | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal" |
| value[x] | S | 1..1 | Reference() | Reference to a Goal |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus | ?!SΣI | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| category | SI | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) |
| severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
| code | SΣ | 1..1 | CodeableConcept | Chronic 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): This set of values contains diagnosis terms representing All Stages (1 or 2 or 3 or 4 or 5) of chronic kidney disease. |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
| onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime | |||
| onsetAge | Age | |||
| onsetPeriod | Period | |||
| onsetRange | Range | |||
| onsetString | string | |||
| abatement[x] | I | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementAge | Age | |||
| abatementPeriod | Period | |||
| abatementRange | Range | |||
| abatementString | string | |||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded |
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition |
| asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition |
| stage | I | 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 | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). |
| assessment | I | 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 | I | 0..* | BackboneElement | In 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..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 | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. |
| Slices for detail | ΣI | 0..* | Reference(Resource) | 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 | SΣI | 0..1 | Reference(End Stage Renal Conditions) | The referenced profile constrains US Core Condition to end stage renal conditions. |
| detail:RenalTransplant | SΣI | 0..1 | Reference(Renal Transplant Procedure) | The referenced profile constrains US Core Procedure to renal transplant procedures. |
| detail:Dialysis | SΣI | 0..1 | Reference(Renal Dialysis) | The referenced profile constrains US Core Procedure to renal dialysis procedures. |
| detail:ChronicKidneyDiseaseFamilyHistory | SΣI | 0..* | Reference(Family Member History of Chronic Kidney Disease) | The referenced profile constrains the FHIR Family History Resource to chronic kidney disease conditions. |
| detail:EstimatedGlomerularFiltrationRate | SΣI | 0..* | Reference(Estimated Glomerular Filtration Rate) | The referenced profile constrains US Core Laboratory Result Observation to estimated glomerular filtration rate results. |
| detail:SerumCreatinine | SΣI | 0..* | Reference(Serum Creatinine) | The referenced profile constrains US Core Laboratory Result Observation to serum creatinine results. |
| detail:UrineAlbuminCreatinineRatio | SΣI | 0..* | Reference(Urine Albumin Creatinine Ratio) | The referenced profile constrains US Core Laboratory Result Observation to urine albumin creatinine ratio results. |
| detail:BloodUreaNitrogen | SΣI | 0..* | Reference(Blood Urea Nitrogen) | Supporting information found elsewhere |
| detail:KidneyBiopsy | SΣI | 0..* | Reference(Kidney Biopsy Procedure) | The referenced profile constrains US Core Procedure to kidney biopsy procedures and within seeks and associated report. |
| note | 0..* | Annotation | Additional information about the Condition | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet |
| Condition.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Condition.extension:Condition-dueTo.value[x] | required | https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.6/expansion |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.severity | preferred | Condition/DiagnosisSeverity |
| Condition.code | required | https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1222.159/expansion |
| Condition.bodySite | example | SNOMEDCTBodyStructures |
| Condition.stage.summary | example | ConditionStage |
| Condition.stage.type | example | ConditionStageType |
| Condition.evidence.code | example | ManifestationAndSymptomCodes |
| Id | Grade | Path | 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() | |
| us-core-1 | Best Practice | Condition | A 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-1 | error | Condition.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.extension:Condition-dueTo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.extension:Condition-dueTo | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.extension:Condition-dueTo.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.extension:Condition-dueTo.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.extension:Condition-dueTo.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.extension:resource-pertainsToGoal | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.extension:resource-pertainsToGoal | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.extension:resource-pertainsToGoal.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.extension:resource-pertainsToGoal.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.extension:resource-pertainsToGoal.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.clinicalStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.verificationStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.severity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.onset[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.abatement[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.recordedDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.asserter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| ele-1 | error | Condition.stage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.stage.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.stage.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.stage.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.stage.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.stage.summary | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.stage.assessment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.stage.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| ele-1 | error | Condition.evidence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.evidence.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.evidence.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Condition.evidence.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Condition.evidence.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:EndStageRenalDiseaseCondition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:RenalTransplant | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:Dialysis | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:ChronicKidneyDiseaseFamilyHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:EstimatedGlomerularFiltrationRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:SerumCreatinine | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:UrineAlbuminCreatinineRatio | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:BloodUreaNitrogen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.evidence.detail:KidneyBiopsy | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Condition.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2020+ HL7 International - Patient Care WG. Package hl7.fhir.us.mcc#0.1.0 based on FHIR 4.0.1. Generated 2022-04-05
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