Athena Core Implementation Guide
4.2.0 - release
Athena Core Implementation Guide - Local Development build (v4.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: https://fhir.athena.io/StructureDefinition/ah-condition | Version: 4.2.0 | |||
Active as of 2025-04-17 | Computable Name: AthenahealthCondition | |||
Keywords: Wire Format |
A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
The condition could be a point in time diagnosis in context of an encounter, it could be an item on the practitioner’s Problem List, or it could be a concern that doesn’t exist on the practitioner’s Problem List.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 |
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?!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 |
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1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | string | athenahealth Section Note URL: https://fhir.athena.io/StructureDefinition/ah-section-note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | code | athenahealth Condition Problem Type Category URL: https://fhir.athena.io/StructureDefinition/ah-condition-problem-type-category Binding: athenahealth Condition Problem Type Category Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?! | 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 |
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?!ΣC | 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 |
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?!ΣC | 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 |
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Σ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
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C | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | Reference(Practitioner) | Who recorded the condition ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
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1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
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0..1 | string | athenahealth Section Note URL: https://fhir.athena.io/StructureDefinition/ah-section-note | |||||
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0..1 | code | athenahealth Condition Problem Type Category URL: https://fhir.athena.io/StructureDefinition/ah-condition-problem-type-category Binding: athenahealth Condition Problem Type Category Value Set (required) | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
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?!ΣC | 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. | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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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. | |||||
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Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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Σ | 1..1 | Reference(Patient) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age | ||||
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C | 0..1 | dateTime | When in resolution/remission | ||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner) | Who recorded the condition | ||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Coding | Extension URL: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label | |||||
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Σ | 0..1 | Individual responsible for the annotation | |||||
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Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | When the annotation was made | ||||
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Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
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Path | Conformance | ValueSet | URI | |||
Condition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Condition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
This structure is derived from Condition
Summary
Mandatory: 2 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Condition
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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 |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
![]() ![]() ![]() ![]() |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | string | athenahealth Section Note URL: https://fhir.athena.io/StructureDefinition/ah-section-note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | code | athenahealth Condition Problem Type Category URL: https://fhir.athena.io/StructureDefinition/ah-condition-problem-type-category Binding: athenahealth Condition Problem Type Category Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?! | 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 |
![]() ![]() ![]() |
?!ΣC | 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 |
![]() ![]() ![]() |
?!ΣC | 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 |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
C | 0..1 | dateTime | When in resolution/remission ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner) | Who recorded the condition ele-1: All FHIR elements must have a @value or children |
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | id | Version specific identifier | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | instant | When the resource version last changed | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
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1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
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0..1 | string | athenahealth Section Note URL: https://fhir.athena.io/StructureDefinition/ah-section-note | |||||
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0..1 | code | athenahealth Condition Problem Type Category URL: https://fhir.athena.io/StructureDefinition/ah-condition-problem-type-category Binding: athenahealth Condition Problem Type Category Value Set (required) | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | External Ids for this condition | ||||
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
![]() ![]() ![]() |
?!ΣC | 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. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient) | Who has the condition? | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
![]() ![]() ![]() |
Σ | 0..1 | dateTime | Estimated or actual date, date-time, or age | ||||
![]() ![]() ![]() |
C | 0..1 | dateTime | When in resolution/remission | ||||
![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date record was first recorded | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner) | Who recorded the condition | ||||
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C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
![]() ![]() ![]() |
0..* | Annotation | Additional information about the Condition | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Coding | Extension URL: http://hl7.org/fhir/uv/security-label-ds4p/StructureDefinition/extension-inline-sec-label | |||||
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Σ | 0..1 | Individual responsible for the annotation | |||||
![]() ![]() ![]() ![]() ![]() |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | When the annotation was made | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
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Path | Conformance | ValueSet | URI | |||
Condition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard | ||||
Condition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard | ||||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Condition.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
This structure is derived from Condition
Summary
Mandatory: 2 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron