CMS ACCESS Model API
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CMS ACCESS Model API - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACCESS CKM Track Condition Profile

Official URL: https://globalalliantinc.com/access/StructureDefinition/access-ckm-condition Version: 0.9.0
Active as of 2026-02-13 Computable Name: ACCESSCKMCondition

The ACCESS CKM Track Condition Profile is used for representing qualifying diagnoses for the Cardio-Kidney-Metabolic (CKM) track. It constrains the ACCESS Condition Profile to add a required binding to ACCESSCKMDiagnosisVS.

All codes must still be valid ICD-10-CM codes as required by the base ACCESS Condition Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10cm SΣ 1..1 Coding ICD-10-CM diagnosis code
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG

Constraints

Id Grade Path(s) Description Expression
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 Condition.implicitRules, Condition.extension:assertedDate, Condition.modifierExtension, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.code, Condition.code.coding, Condition.code.coding:icd10cm, Condition.code.coding:icd10cm.system, Condition.code.coding:icd10cm.code, Condition.subject, Condition.onset[x], Condition.abatement[x], Condition.recordedDate All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension:assertedDate, Condition.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ACCESSCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
... code 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10cm SΣ 1..1 Coding ICD-10-CM diagnosis code
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.code.extension, Condition.code.coding, Condition.code.coding:icd10cm, Condition.code.coding:icd10cm.extension, Condition.code.coding:icd10cm.system, Condition.code.coding:icd10cm.version, Condition.code.coding:icd10cm.code, Condition.code.coding:icd10cm.display, Condition.code.coding:icd10cm.userSelected, Condition.code.text, Condition.bodySite, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.code.extension, Condition.code.coding:icd10cm.extension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ACCESSCondition

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10cm SΣ 1..1 Coding ICD-10-CM diagnosis code
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG

Constraints

Id Grade Path(s) Description Expression
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 Condition.implicitRules, Condition.extension:assertedDate, Condition.modifierExtension, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.code, Condition.code.coding, Condition.code.coding:icd10cm, Condition.code.coding:icd10cm.system, Condition.code.coding:icd10cm.code, Condition.subject, Condition.onset[x], Condition.abatement[x], Condition.recordedDate All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension:assertedDate, Condition.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ACCESSCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
... code 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ACCESSCondition(0.9.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept CKM track diagnosis code
Binding: ACCESSCKMDiagnosisVS (0.9.0) (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10cm SΣ 1..1 Coding ICD-10-CM diagnosis code
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required ACCESS Cardio-Kidney-Metabolic (CKM) Track Qualifying Diagnoses 📍0.9.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.code.extension, Condition.code.coding, Condition.code.coding:icd10cm, Condition.code.coding:icd10cm.extension, Condition.code.coding:icd10cm.system, Condition.code.coding:icd10cm.version, Condition.code.coding:icd10cm.code, Condition.code.coding:icd10cm.display, Condition.code.coding:icd10cm.userSelected, Condition.code.text, Condition.bodySite, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.code.extension, Condition.code.coding:icd10cm.extension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ACCESSCondition

Summary

 

Other representations of profile: CSV, Excel, Schematron