Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: Diagnóstico de condición de salud (Condition) RDA

Perfil FHIR del diagnóstico de una condición de salud, para su intercambio en un documento RDA en Colombia.

Condición clínica, problema, diagnóstico u otro acontecimiento, situación, cuestión o concepto clínico que afecta la salud de un paciente.

El diagnóstico de una condición de salud, problema o enfermedad es el resultado de un proceso clínico mediante el cual un profesional de la salud, autorizado y habilitado, identifica la presencia de una alteración específica del estado de salud de una persona, con base en la evaluación de signos, síntomas, antecedentes, hallazgos clínicos, pruebas diagnósticas y criterios definidos por la ciencia médica.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR Condition (Condición de salud), con el objetivo de estandarizar y representar información de una condición clínica, problema, diagnóstico u otro acontecimiento, situación, cuestión o concepto clínico que afecta la salud de un paciente., dentro del contexto del resumen digital de atención en salud (RDA).

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social, y está armonizado con la Guía de Implementación FHIR Core Colombia.

En Colombia, este diagnóstico debe registrarse en la historia clínica del paciente, de acuerdo con los lineamientos establecidos por el Ministerio de Salud y Protección Social y con la normatividad vigente sobre la gestión de la información en salud.

Características

• Proceso clínico profesional: realizado por médicos, odontólogos u otros profesionales con competencias para diagnosticar, conforme a su formación y marco legal.
• Sustentado en evidencia: incluye anamnesis, examen físico, ayudas diagnósticas, clasificación clínica y criterios diferenciales.
• Puede ser definitivo o presuntivo: dependiendo del grado de certeza clínica y del contexto de atención.
• Se expresa mediante terminologías clínicas estandarizadas: como CIE-10 o CIE-11.
• Clasificación del diagnóstico: puede ser principal, relacionado, motivo de consulta, antecedente personal, entre otros.

Uso previsto

Este perfil está diseñado para ser implementado por:

• Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
• Instituciones Prestadoras de Servicios de Salud.
• Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
• Repositorios de datos clínicos (CDR).
• Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones y extensiones clave

• Se requiere el uso de terminologías controladas nacionales.
• Se aplican restricciones sobre elementos obligatorios y cardinalidad.
• Utiliza extensiones para representar información adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

• Condition FHIR R4
• ​Profile: Condition CO

Consideraciones adicionales

• Este perfil no sustituye las obligaciones legales sobre el registro clínico.
• Se recomienda verificar la conformidad de su implementación.

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Consulta), Paquete transaccional (Bundle) de documento RDA (Urgencias) and Paquete transaccional (Bundle) de documento RDA (Hospitalización)
• Refer to this Profile: Resumen Digital de Atención en Salud de Consulta (RDA Consulta), Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Resumen Digital de Atención en Salud (RDA)... Show 5 more, Encuentro de atención ambulatoria (Encounter) RDA, Encuentro de atención de urgencias en salud (Encounter) RDA, Encuentro de hospitalización (Encounter) RDA, Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA and Procedimiento realizado (Procedure) RDA
• Examples for this Profile: Condition/072d9e24-f388-4a3f-ab82-e8b7a81e4459, Condition/da6061a5-e226-44d5-86b1-3a73fb821691 and Condition/f0012036-6661-4a09-aaf6-faa465a6cb32

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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	Valor por defecto: active Binding: ConditionClinicalStatusCodes (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: active
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Active
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
code	SΣ	1..1	CodeableConcept	Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11) Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD10	Σ	0..1	Coding	Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
coding:ICD11	Σ	0..1	Coding	Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-11
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
text	Σ	0..1	string	Descripción textual de la condición, problema o diagnóstico
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			Condition
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA
clinicalStatus				Valor por defecto: active Binding: ConditionClinicalStatusCodes (required)
coding
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code	S	1..		Fixed Value: active
display	S	1..		Fixed Value: Active
verificationStatus				Binding: ConditionVerificationStatus (required)
coding
system				Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..		Fixed Value: confirmed
display	S	1..		Fixed Value: Confirmed
severity		..0
code	S	1..		Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11)
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:ICD10		0..1		Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (required)
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-10
code	S	1..
display	S	1..
coding:ICD11		0..1		Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (required)
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-11
code		1..
display		1..
text				Descripción textual de la condición, problema o diagnóstico
bodySite		..0
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
encounter		..0
onset[x]		..0
abatement[x]		..0
recordedDate		..0
recorder		..0
asserter		..0
note		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	Valor por defecto: active Binding: ConditionClinicalStatusCodes (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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: active
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Active
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
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
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
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11) Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD10	Σ	0..1	Coding	Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (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
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICD11	Σ	0..1	Coding	Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (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
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-11
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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	Descripción textual de la condición, problema o diagnóstico
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	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	**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 Condition

Summary

Mandatory: 0 element(14 nested mandatory elements)
Must-Support: 8 elements
Fixed: 9 elements
Prohibited: 9 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	Valor por defecto: active Binding: ConditionClinicalStatusCodes (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: active
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Active
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
code	SΣ	1..1	CodeableConcept	Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11) Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD10	Σ	0..1	Coding	Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
coding:ICD11	Σ	0..1	Coding	Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-11
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
text	Σ	0..1	string	Descripción textual de la condición, problema o diagnóstico
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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	**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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			Condition
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA
clinicalStatus				Valor por defecto: active Binding: ConditionClinicalStatusCodes (required)
coding
system		1..		Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code	S	1..		Fixed Value: active
display	S	1..		Fixed Value: Active
verificationStatus				Binding: ConditionVerificationStatus (required)
coding
system				Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..		Fixed Value: confirmed
display	S	1..		Fixed Value: Confirmed
severity		..0
code	S	1..		Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11)
Slices for coding		1..		Slice: Unordered, Open by value:system
coding:ICD10		0..1		Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (required)
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-10
code	S	1..
display	S	1..
coding:ICD11		0..1		Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (required)
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-11
code		1..
display		1..
text				Descripción textual de la condición, problema o diagnóstico
bodySite		..0
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
encounter		..0
onset[x]		..0
abatement[x]		..0
recordedDate		..0
recorder		..0
asserter		..0
note		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	Valor por defecto: active Binding: ConditionClinicalStatusCodes (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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: active
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Active
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
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: confirmed
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Confirmed
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
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	Identificación de la condición, problema o diagnóstico (CIE 10 o CIE 11) Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD10	Σ	0..1	Coding	Codificación CIE 10 Binding: ValueSet: ICD 10 Colombia (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
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICD11	Σ	0..1	Coding	Codificación CIE 11 Binding: ValueSet: ICD 11 Colombia (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
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-11
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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	Descripción textual de la condición, problema o diagnóstico
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que presenta la condición de salud
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:ICD10	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Condition.code.coding:ICD11	required	ICD10CO(a valid code from CodeSystem: International Statistical Classification of Diseases and Related Health Problems - Version 11 - Colombia (ICD11CO)) https://fhir.minsalud.gov.co/rda/ValueSet/ICD11Codes From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	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	**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 Condition

Summary

Mandatory: 0 element(14 nested mandatory elements)
Must-Support: 8 elements
Fixed: 9 elements
Prohibited: 9 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding

Other representations of profile: CSV, Excel, Schematron