HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use International flag

This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: De-Identified UDS Plus Diagnosis

Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-diagnosis Version: 1.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: UDSPlusDiagnosis

The UDS+ profile is based on the Condition resource and establishes the core elements, extensions, vocabularies and value sets for representing Diagnosis for UDS+ program.

Introduction

This profile is used to represent de-identified diagnosis information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes diagnosis dates, visit dates, onset dates etc.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a Condition resource text element may contain information such as the visit date, onset date. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

Ids and References

The original Condition resource id should not be included in the De-identified condition instance. Instead a new id should be created and provided as part of the FHIR resource. This Data Submitter should be capable of using the generated id to relink the data to the original Condition. All resource references to the Condition submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

  • subject
  • encounter

Date Truncation

The Data Submitter has to truncate the following dates to only have a precision of year

  • onsetDate
  • abatementDate
  • recordedDate

Examples

Examples of identifiable data and its corresponding de-identifiable data is present in Reporting Guidance.

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* Condition De-Identified UDS Plus Diagnosis
... id S 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... text 0..0
... contained 0..0
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... subject S 1..1 Reference(De-Identified UDS Plus Patient) Who has the condition?
.... display 0..0
... encounter S 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
.... display 0..0
... onset[x] SC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.
... recorder
.... display 0..0
... asserter
.... display 0..0
... note 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition De-Identified UDS Plus Diagnosis
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
... id SΣ 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... subject SΣ 1..1 Reference(De-Identified UDS Plus Patient) Who has the condition?
... encounter SΣ 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
... onset[x] SΣC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SΣC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition De-Identified UDS Plus Diagnosis
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
... id SΣ 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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 Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ 1..1 Reference(De-Identified UDS Plus Patient) Who has 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... encounter SΣ 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... onset[x] SΣC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SΣC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.recorder.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.asserter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4

This structure is derived from Condition

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..* Condition De-Identified UDS Plus Diagnosis
... id S 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... text 0..0
... contained 0..0
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... subject S 1..1 Reference(De-Identified UDS Plus Patient) Who has the condition?
.... display 0..0
... encounter S 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
.... display 0..0
... onset[x] SC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.
... recorder
.... display 0..0
... asserter
.... display 0..0
... note 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition De-Identified UDS Plus Diagnosis
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
... id SΣ 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... subject SΣ 1..1 Reference(De-Identified UDS Plus Patient) Who has the condition?
... encounter SΣ 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
... onset[x] SΣC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SΣC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition De-Identified UDS Plus Diagnosis
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
... id SΣ 0..1 id The de-identified Condition identifier created by the health center to send data to UDS+ Data Receiver
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... assertedDate SC 0..1 dateTime Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... 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 Identification of the condition, problem or diagnosis
Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis

... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ 1..1 Reference(De-Identified UDS Plus Patient) Who has 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... encounter SΣ 0..1 Reference(De-Identified UDS Plus Encounter) Encounter created as part of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... onset[x] SΣC 0..1 Estimated or actual date, date-time, or age
uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... onsetDateTime dateTime S
.... onsetPeriod Period
... abatement[x] SC 0..1 When in resolution/remission
uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources.
uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources.
.... abatementDateTime dateTime
.... abatementPeriod Period
... recordedDate SΣC 0..1 dateTime Date record was first recorded
uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources.
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this 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
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C 0..* BackboneElement Supporting evidence
con-2: evidence SHALL have code or details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.recorder.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.asserter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
uds-plus-diag-1errorCondition.extension:assertedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString().length() = 4
uds-plus-diag-2errorCondition.onset[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-3errorCondition.onset[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-4errorCondition.onset[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-5errorCondition.abatement[x]All dateTime data elements should be truncated to a year only for de-identified resources.
: $this is DateTime implies $this.toString().length() = 4
uds-plus-diag-6errorCondition.abatement[x]All Period.start data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-diag-7errorCondition.abatement[x]All Period.emd data elements should be truncated to a year only for de-identified resources.
: $this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-diag-8errorCondition.recordedDateAll dateTime data elements should be truncated to a year only for de-identified resources.
: $this.toString().length() = 4

This structure is derived from Condition

 

Other representations of profile: CSV, Excel, Schematron