ACH Monthly Event Condition - CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG v3.0.0

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event Condition

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition		Version: 3.0.0
Standards status: Trial-use	Maturity Level: 2	Computable Name: AcuteCareHospitalMonthlyReportingCondition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.1002.42.12

This profile contains Required and Must Support data elements for reporting patient condition information to the NHSN Acute Care Hospital (ACH) Monthly dQM. This profile inherits from the QI-Core 6.0.0 Condition Encounter Diagnosis profile, which inherits from US Core 6.1.0 Condition Encounter Diagnosis profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

New Content

Formal Views of Profile Content

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

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	This element must be supported. This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate	This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	This element is a modifier element. This element must be supported. This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	This element is a modifier element. This element must be supported. This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" } ] }`
Condition.Slices for category.category:us-core.coding	This element must be supported. This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	This element must be supported. This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	This element must be supported. This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.subject	This element must be supported. This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b }	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	This element must be supported. This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter	This element must be supported. This element is included in summaries.	0..1	Reference(QICore Encounter) {b }	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	This element must be supported. This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]	This element must be supported. This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	This element must be supported. This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
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	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	`code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from QICoreConditionEncounterDiagnosis

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta
Condition.meta.Slices for extension				Content/Rules for all slices
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate		0..1	ConditionAssertedDate(5.2.0)	(NHSN-MS)(USCDI) Date the condition was first asserted
Condition.clinicalStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) active \| recurrence \| relapse \| inactive \| remission \| resolved
Condition.verificationStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error
Condition.category		1..*	CodeableConcept	(NHSN-MS)(USCDI) category codes
Condition.Slices for category				Content/Rules for all slices
Condition.Slices for category.category:us-core		1..1	CodeableConcept	(NHSN-MS)(USCDI) encounter-diagnosis
Condition.Slices for category.category:us-core.coding	This element must be supported.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	This element must be supported.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	This element must be supported.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Identification of the condition, problem or diagnosis
Condition.subject		1..1	Reference(Cross-Measure Patient Profile) {b }	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter		0..1	Reference(QICore Encounter) {b }	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.abatement[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) When in resolution/remission
Condition.recordedDate		0..1	dateTime	(NHSN-MS)(USCDI) Date record was first recorded
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	`code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()`
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`

Description & Constraints Filter:

Condition C 0..* QICoreConditionEncounterDiagnosis Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2

1..1

(NHSN-MS)

Logical id of this artifact

Condition.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Condition.meta.id 0..1 string Unique id for inter-element referencing

Condition.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Condition.meta.Slices for extension.extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Condition.meta.versionId This element is included in summaries. 0..1 id Version specific identifier

Condition.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed

Condition.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from

Condition.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to

Condition.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Condition.meta.tag This element is included in summaries. 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".

Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Condition.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

Condition.contained 0..* Resource Contained, inline Resources

Condition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

extension:assertedDate

0..1

dateTime

(NHSN-MS)

(USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate

Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Condition.identifier This element is included in summaries. 0..* Identifier External Ids for this condition

0..1

(NHSN-MS)

0..1

(NHSN-MS)

1..*

(NHSN-MS)

(USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:us-core

1..1

CodeableConcept

(NHSN-MS)

(USCDI) encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
      "code" : "encounter-diagnosis"
    }
  ]
}

Condition.Slices for category.category:us-core.id 0..1 string Unique id for inter-element referencing

Condition.Slices for category.category:us-core.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

1..*

Coding

(NHSN-MS)

Code defined by a terminology system

Condition.Slices for category.category:us-core.coding.id 0..1 string Unique id for inter-element referencing

Condition.Slices for category.category:us-core.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

system

1..1

uri

(NHSN-MS)

Identity of the terminology system

Condition.Slices for category.category:us-core.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant

code

1..1

code

(NHSN-MS)

Symbol in syntax defined by the system

Condition.Slices for category.category:us-core.coding.display This element is included in summaries. 0..1 string Representation defined by the system

Condition.Slices for category.category:us-core.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user

Condition.Slices for category.category:us-core.text This element is included in summaries. 0..1 string Plain text representation of the concept

Condition.severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

code

1..1

CodeableConcept

(NHSN-MS)

(USCDI) Identification of the condition, problem or diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient

Condition.bodySite This element is included in summaries. 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

subject

1..1

Reference(Cross-Measure Patient Profile) {b }

(NHSN-MS)

Literal reference, Relative, internal or absolute URL

Condition.subject.id 0..1 string Unique id for inter-element referencing

Condition.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Condition.subject.reference This element must be supported. This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL

Condition.subject.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

Condition.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Condition.subject.display This element is included in summaries. 0..1 string Text alternative for the resource

encounter

0..1

Reference(QICore Encounter) {b }

(NHSN-MS)

(QI-Core)(USCDI) Encounter created as part of

Condition.encounter.id 0..1 string Unique id for inter-element referencing

Condition.encounter.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

reference

1..1

string

(NHSN-MS)

Literal reference, Relative, internal or absolute URL

Condition.encounter.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

Condition.encounter.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Condition.encounter.display This element is included in summaries. 0..1 string Text alternative for the resource

onset[x]

0..1

(NHSN-MS)

(QI-Core)(USCDI) Estimated or actual date, date-time, or age

Condition.onset[x].onsetDateTime dateTime This target must be supported.

Condition.onset[x].onsetAge Age

Condition.onset[x].onsetPeriod Period

Condition.onset[x].onsetRange Range

abatement[x]

0..1

(NHSN-MS)

(QI-Core)(USCDI) When in resolution/remission

Condition.abatement[x].abatementDateTime dateTime This target must be supported.

Condition.abatement[x].abatementAge Age

Condition.abatement[x].abatementPeriod Period

Condition.abatement[x].abatementRange Range

recordedDate

0..1

dateTime

(NHSN-MS)

(USCDI) Date record was first recorded

Condition.recorder This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition

Condition.asserter This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition

Condition.stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1

Condition.stage.id 0..1 string Unique id for inter-element referencing

Condition.stage.extension 0..* Extension Additional content defined by implementations

Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Condition.stage.summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

Condition.stage.assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment

Condition.stage.type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

Condition.evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2

Condition.evidence.id 0..1 string Unique id for inter-element referencing

Condition.evidence.extension 0..* Extension Additional content defined by implementations

Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Condition.evidence.code This element is included in summaries. C 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.

Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) Supporting information found elsewhere

Condition.note 0..* Annotation Additional information about the Condition

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Condition.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1
Condition.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.type	Base	extensible	ResourceType	📍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
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	`code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()`
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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

This structure is derived from QICoreConditionEncounterDiagnosis

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	This element must be supported. This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate	This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	This element is a modifier element. This element must be supported. This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	This element is a modifier element. This element must be supported. This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" } ] }`
Condition.Slices for category.category:us-core.coding	This element must be supported. This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	This element must be supported. This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	This element must be supported. This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.subject	This element must be supported. This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b }	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	This element must be supported. This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter	This element must be supported. This element is included in summaries.	0..1	Reference(QICore Encounter) {b }	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	This element must be supported. This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]	This element must be supported. This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	This element must be supported. This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
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	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	`code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Differential View

This structure is derived from QICoreConditionEncounterDiagnosis

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta
Condition.meta.Slices for extension				Content/Rules for all slices
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate		0..1	ConditionAssertedDate(5.2.0)	(NHSN-MS)(USCDI) Date the condition was first asserted
Condition.clinicalStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) active \| recurrence \| relapse \| inactive \| remission \| resolved
Condition.verificationStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error
Condition.category		1..*	CodeableConcept	(NHSN-MS)(USCDI) category codes
Condition.Slices for category				Content/Rules for all slices
Condition.Slices for category.category:us-core		1..1	CodeableConcept	(NHSN-MS)(USCDI) encounter-diagnosis
Condition.Slices for category.category:us-core.coding	This element must be supported.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	This element must be supported.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	This element must be supported.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Identification of the condition, problem or diagnosis
Condition.subject		1..1	Reference(Cross-Measure Patient Profile) {b }	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter		0..1	Reference(QICore Encounter) {b }	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.abatement[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) When in resolution/remission
Condition.recordedDate		0..1	dateTime	(NHSN-MS)(USCDI) Date record was first recorded
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	`code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()`
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`

Snapshot View