HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 Release 1 - Standard for Trial-Use

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## Resource Profile: De-Identified UDS Plus Diagnosis

Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-diagnosis | Version: 2.0.0
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:

- Refer to this Resource Profile: De-Identified UDS Plus Encounter
- Examples for this Resource Profile: Condition/de-identified-example

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id | S Σ | 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 ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:assertedDate | S C | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus | ?!S Σ C | 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. ele-1: All FHIR elements must have a @value or children
category | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children
encounter | S Σ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children
onset[x] | S Σ C | 0..1 |  | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime |
abatement[x] | S C | 0..1 |  | When in resolution/remission ele-1: All FHIR elements must have a @value or children uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S Σ C | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
extension:assertedDate | S C | 0..1 | dateTime | Date the condition 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. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
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] | S C | 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-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime S |
onsetPeriod |  |  | Period |
abatement[x] | S C | 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-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S C | 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. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
recorder |  |  |  |
display |  | 0..0 |  |
asserter |  |  |  |
display |  | 0..0 |  |
note |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 | S Σ | 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
extension:assertedDate | S C | 0..1 | dateTime | Date the condition 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. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 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 | S Σ | 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 | S Σ | 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 | Σ C | 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 | S Σ | 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 | Σ C | 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] | S Σ C | 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-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime S |
onsetPeriod |  |  | Period |
abatement[x] | S C | 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-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S Σ C | 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. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
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 | Σ C | 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 | Σ C | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
Condition.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Condition.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.encounter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.recorder.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.asserter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

This structure is derived from Condition

Summary

Mandatory: 3 elements
Must-Support: 12 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

- De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)
- De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

Extensions

This structure refers to these extensions:

- http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
- http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id | S Σ | 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 ele-1: All FHIR elements must have a @value or children
Slices for extension |  |  |  | Content/Rules for all slices
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:assertedDate | S C | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both uds-plus-diag-1: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus | ?!S Σ C | 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. ele-1: All FHIR elements must have a @value or children
category | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Codes (extensible): The set of codes indicating the diagnosis ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children
encounter | S Σ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children
onset[x] | S Σ C | 0..1 |  | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children uds-plus-diag-2: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime |
abatement[x] | S C | 0..1 |  | When in resolution/remission ele-1: All FHIR elements must have a @value or children uds-plus-diag-5: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S Σ C | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children uds-plus-diag-8: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

Differential View

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
extension:assertedDate | S C | 0..1 | dateTime | Date the condition 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. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
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] | S C | 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-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime S |
onsetPeriod |  |  | Period |
abatement[x] | S C | 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-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S C | 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. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
recorder |  |  |  |
display |  | 0..0 |  |
asserter |  |  |  |
display |  | 0..0 |  |
note |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 | S Σ | 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:uds-plus-age-extension | S | 0..1 | Quantity | Age of the Patient computed using birthDate. URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
extension:assertedDate | S C | 0..1 | dateTime | Date the condition 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. uds-plus-diag-1a: All dateTime data elements should have valid year > 1900 uds-plus-diag-1b: All dateTime data elements should have valid year < 2030
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 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 | S Σ | 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 | S Σ | 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 | Σ C | 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 | S Σ | 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 | Σ C | 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] | S Σ C | 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-2a: All dateTime data elements should have valid year > 1900 uds-plus-diag-2b: All dateTime data elements should have valid year < 2030 uds-plus-diag-3: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-3a: All Period.start data elements should have valid year > 1900 uds-plus-diag-3b: All Period.start data elements should have valid year < 2030 uds-plus-diag-4: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-4a: All Period.start data elements should have valid year > 1900 uds-plus-diag-4b: All Period.start data elements should have valid year < 2030
onsetDateTime |  |  | dateTime S |
onsetPeriod |  |  | Period |
abatement[x] | S C | 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-5a: All dateTime data elements should have valid year > 1900 uds-plus-diag-5b: All dateTime data elements should have valid year < 2030 uds-plus-diag-6: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-diag-6a: All Period.start data elements should have valid year > 1900 uds-plus-diag-6b: All Period.start data elements should have valid year < 2030 uds-plus-diag-7: All Period.emd data elements should be truncated to a year only for de-identified resources. uds-plus-diag-7a: All Period.start data elements should have valid year > 1900 uds-plus-diag-7b: All Period.start data elements should have valid year < 2030
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | S Σ C | 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. uds-plus-diag-8a: All dateTime data elements should have valid year > 1900 uds-plus-diag-8b: All dateTime data elements should have valid year < 2030
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 | Σ C | 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 | Σ C | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | USCoreConditionCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
Condition.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Condition.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.encounter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.recorder.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.asserter.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
uds-plus-diag-1 | error | Condition.extension:assertedDate | All 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-1a | error | Condition.extension:assertedDate | All dateTime data elements should have valid year > 1900 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() >= '1900' |
uds-plus-diag-1b | error | Condition.extension:assertedDate | All dateTime data elements should have valid year < 2030 : $this.value.ofType(dateTime) implies $this.value.ofType(dateTime).toString() <= '2030' |
uds-plus-diag-2 | error | Condition.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-2a | error | Condition.onset[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-2b | error | Condition.onset[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-3 | error | Condition.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-3a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-3b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-4 | error | Condition.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-4a | error | Condition.onset[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-4b | error | Condition.onset[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-5 | error | Condition.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-5a | error | Condition.abatement[x] | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-5b | error | Condition.abatement[x] | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |
uds-plus-diag-6 | error | Condition.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-6a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.start.exists() implies $this.start.toString() >= '1900' |
uds-plus-diag-6b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.start.exists() implies $this.start.toString() <= '2030' |
uds-plus-diag-7 | error | Condition.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-7a | error | Condition.abatement[x] | All Period.start data elements should have valid year > 1900 : $this is Period and Period.end.exists() implies $this.end.toString() >= '1900' |
uds-plus-diag-7b | error | Condition.abatement[x] | All Period.start data elements should have valid year < 2030 : $this is Period and Period.end.exists() implies $this.end.toString() <= '2030' |
uds-plus-diag-8 | error | Condition.recordedDate | All dateTime data elements should be truncated to a year only for de-identified resources. : $this.toString().length() = 4 |
uds-plus-diag-8a | error | Condition.recordedDate | All dateTime data elements should have valid year > 1900 : $this is DateTime implies $this.toString() >= '1900' |
uds-plus-diag-8b | error | Condition.recordedDate | All dateTime data elements should have valid year < 2030 : $this is DateTime implies $this.toString() <= '2030' |

This structure is derived from Condition

Summary

Mandatory: 3 elements
Must-Support: 12 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

- De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)
- De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

Extensions

This structure refers to these extensions:

- http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-age-extension
- http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1

Maturity: 2

Other representations of profile: CSV, Excel, Schematron