Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Probleem

FMS Adequate Registratie

Als bron voor de must-support flags en de UI guidance is gebruikt: Fit-gap analyse probleem

User-Interface guidance

Een schets van het scherm met labels en sortering informatie

Kolom definities:

Zoeken naar codes

• DHD T-Rex - system=http://snomed.info/sct
• ICD-10-NL - system=http://hl7.org/fhir/sid/icd-10-nl
• ICPC-1 NL - system=http://hl7.org/fhir/sid/icpc-1-nl

Request

1. Opvragen (search) actieve en gesloten problemen

   GET <ontsluiten-bronsysteem-base>/Condition?patient=<fhir_patient_id>[&clinical-status=active,resolved]

   N.B. De clinical-status parameter is niet meer nodig als de Epic Feb '23 is geinstalleerd.

Uitzondering onsetDateTime, onsetPeriod, abatementDateTime en abatementPeriod

N.B. In tegenstelling tot het officiele zib profiel wordt in de praktijk voor de onset zowel een exacte datum (dateTime) geaccepteerd als een vage of range (period, b.v. ergens in 2011) datum.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

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

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required)
Slices for extension				Content/Rules for all slices
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required)
Slices for extension				Content/Rules for all slices
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
code	SΣ	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
Slices for onset[x]	SΣ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	SC	0..1	dateTime	If/when in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

This structure is derived from Zib Problem

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
clinicalStatus	S	1..1	code	ProblemStatus
code	S	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
text	S	0..1	string	Plain text representation of the concept
onset[x]	S	1..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	S	0..1	dateTime	If/when in resolution/remission
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
value		0..1	code	Primitive value for code
category		0..*	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (extensible): The type of problem.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	ProblemAnatomicalLocation Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	ProblemLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or episode when condition first asserted
Slices for onset[x]	SΣ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	SC	0..1	dateTime	If/when in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner)	Person who asserts this condition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
Condition.category	extensible	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG
Condition.bodySite	extensible	ProbleemAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	ProbleemLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.evidence.code	example	Manifestation and Symptom Codes 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	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required)
Slices for extension				Content/Rules for all slices
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required)
Slices for extension				Content/Rules for all slices
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
code	SΣ	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
Slices for onset[x]	SΣ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	SC	0..1	dateTime	If/when in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

Differential View

This structure is derived from Zib Problem

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
clinicalStatus	S	1..1	code	ProblemStatus
code	S	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
text	S	0..1	string	Plain text representation of the concept
onset[x]	S	1..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	S	0..1	dateTime	If/when in resolution/remission
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Zib Problem	Problem con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present zv-con-2: Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	1..1	code	ProblemStatus Binding: Condition Clinical Status Codes (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProblemStatusCodelist		0..*	(Complex)	clinicalstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ProbleemStatusCodelijst (extensible): ProbleemStatusCodelijst
value		0..1	code	Primitive value for code
verificationStatus	?!ΣC	0..1	code	VerificationStatus Binding: ConditionVerificationStatus (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
VerificatieStatusCodelijst		0..1	(Complex)	Verificationstatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: VerificatieStatusCodelijst (extensible): VerificatieStatusCodelijst
value		0..1	code	Primitive value for code
category		0..*	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (extensible): The type of problem.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/Diagnosis Severity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: Zorgviewer probleem naam waardelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	ProblemAnatomicalLocation Binding: ProbleemAnatomischeLocatieCodelijst (extensible): ProbleemAnatomischeLocatieCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Laterality		0..1	(Complex)	ProblemLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: ProbleemLateraliteitCodelijst (extensible): ProblemLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient)	Who has the condition?
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or episode when condition first asserted
Slices for onset[x]	SΣ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	SC	0..1	dateTime	If/when in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
assertedDate	Σ	0..1	dateTime	Date record was believed accurate
asserter	Σ	0..1	Reference(nl-core-relatedperson | nl-core-patient | nl-core-practitioner)	Person who asserts this condition
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
stage	C	0..1	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: Condition Stage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Manifestation and Symptom Codes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Condition.clinicalStatus	required	Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]:valueCodeableConcept	extensible	ProbleemStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]:valueCodeableConcept	extensible	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000
Condition.category	extensible	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000
Condition.severity	preferred	Condition/Diagnosis Severity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ProbleemNaamCodelist http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist from this IG
Condition.bodySite	extensible	ProbleemAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000
Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept	extensible	ProbleemLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000
Condition.stage.summary	example	Condition Stage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.evidence.code	example	Manifestation and Symptom Codes 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	error	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
dom-1	error	Condition	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-con-1	error	Condition	At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present : onsetDateTime.exists() or onsetPeriod.exists()
zv-con-2	warning	Condition	Use either Condition.abatementDateTime or Condition.abatementPeriod for the resolved timestamp : abatementDateTime.exists() or abatementPeriod.exists()

This structure is derived from Zib Problem

Summary

Mandatory: 3 elements
Must-Support: 6 elements