Standard Death Record

ContributedToDeathConditionProfile

 

The official URL for this profile is: 

http://nightingaleproject.github.io/fhirDeathRecord/StructureDefinition/sdr-causeOfDeath-ContributedToDeathCondition

A significant condition that contributed to death but did not result in the underlying cause captured by a CauseOfDeathCondition. Corresponds to part 2 of item 32 of the U.S. Standard Certificate of Death.

This profile builds on Condition.

This profile was published on Thu Jun 14 00:00:00 EDT 2018 as a draft by The MITRE Corporation: Nightingale Project.

Summary

Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

SDR Mapping Source

This structure represents the following SDR mapping definition:

sdr.causeOfDeath.ContributedToDeathCondition maps to Condition:
  CodeableConcept maps to code
  Onset maps to onset[x]
  Subject maps to subject
  constrain text to 1..1
  fix clinicalStatus to http://hl7.org/fhir/ValueSet/condition-clinical#active
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition SDR ContributedToDeathCondition Profile
... text 1..1
... clinicalStatus Fixed Value: active
... code
... subject Reference(US Core Patient Profile)
... onset[x] dateTime, Period, string

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*SDR ContributedToDeathCondition Profile
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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
Fixed Value: active
... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes (example)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/Diagnosis Codes (example)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject Σ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] Σ0..1dateTime, Period, stringEstimated or actual date, date-time, or age
... abatement[x] I0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Summary

Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

SDR Mapping Source

This structure represents the following SDR mapping definition:

sdr.causeOfDeath.ContributedToDeathCondition maps to Condition:
  CodeableConcept maps to code
  Onset maps to onset[x]
  Subject maps to subject
  constrain text to 1..1
  fix clinicalStatus to http://hl7.org/fhir/ValueSet/condition-clinical#active

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition SDR ContributedToDeathCondition Profile
... text 1..1
... clinicalStatus Fixed Value: active
... code
... subject Reference(US Core Patient Profile)
... onset[x] dateTime, Period, string

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*SDR ContributedToDeathCondition Profile
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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
Fixed Value: active
... verificationStatus ?!ΣI0..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: Condition Category Codes (example)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code Σ0..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/Diagnosis Codes (example)
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject Σ1..1Reference(US Core Patient Profile)Who has the condition?
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] Σ0..1dateTime, Period, stringEstimated or actual date, date-time, or age
... abatement[x] I0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... assertedDate Σ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(Practitioner | Patient | RelatedPerson)Person who asserts this condition
... stage I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Condition.languageCommon LanguagesextensibleCommon Languages
Condition.clinicalStatusCondition Clinical Status CodesrequiredCondition Clinical Status Codes
Condition.verificationStatusConditionVerificationStatusrequiredConditionVerificationStatus
Condition.categoryCondition Category CodesexampleCondition Category Codes
Condition.severityCondition/Diagnosis SeveritypreferredCondition/Diagnosis Severity
Condition.codeCondition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes
Condition.bodySiteSNOMED CT Body StructuresexampleSNOMED CT Body Structures
Condition.stage.summaryCondition StageexampleCondition Stage
Condition.evidence.codeManifestation and Symptom CodesexampleManifestation and Symptom Codes

 

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ConditionIf 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-3ConditionIf 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()
con-4ConditionIf 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'
con-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
: verificationStatus='entered-in-error' or clinicalStatus.exists()
ele-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()