Clinical
Summary
This
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(v4.0.1:
R4
(v5.0.0:
R5
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Mixed
Normative
and
STU
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| Patient Care Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , Patient , Practitioner , RelatedPerson |
Raw XML ( canonical form + also see XML Format Specification )
Real-word condition example (malignancy) (id = "f202")
<?xml version="1.0" encoding="UTF-8"?>(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'resolved' = 'Resolved)(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)(Details : {http://terminology.hl7.org/CodeSystem/condition-category code 'encounter-diagnosis' = 'Encounter Diagnosis)(Details : {SNOMED CT code '363346000' = 'Malignant tumour', given as 'Malignant neoplastic disease'})(Details : {SNOMED CT code '361355005' = 'Entire head and neck', given as 'Entire head and neck'})<Condition xmlns="http://hl7.org/fhir"> <id value="f202"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="TBOO"/> <display value="taboo"/> </security> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Condition</b> <a name="f202"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "f202" </p> <p style="margin-bottom: 0px">Security Labels: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode http://terminology.hl7.org/CodeSystem/v3-Ac tCode}">http://terminology.hl7.org/CodeSystem/v3-ActCode</span> </p> </div> <p> <b> clinicalStatus</b> : Resolved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a> #resolved)</span> </p> <p> <b> verificationStatus</b> : Confirmed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a> #confirmed)</span> </p> <p> <b> category</b> : Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-condition-category.html">Condition Category Codes</a> #encounter-diagnosis)</span> </p> <p> <b> severity</b> : Severe <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #24484000)</span> </p> <p> <b> code</b> : Malignant neoplastic disease <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #363346000)</span> </p> <p> <b> bodySite</b> : Entire head and neck <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #361355005)</span> </p> <p> <b> subject</b> : <a href="patient-example-f201-roel.html">Patient/f201: Roel</a> "Roel"</p> <p> <b> onset</b> : 52 years<span style="background: LightGoldenRodYellow"> (Details: UCUM code a = 'a')</span> </p> <p> <b> abatement</b> : 54 years<span style="background: LightGoldenRodYellow"> (Details: UCUM code a = 'a')</span> </p> <p> <b> recordedDate</b> : 2012-12-01</p> <h3> Evidences</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title=" Problem is confirmed in diagnostic report "><a href="diagnosticreport-example-f201-brainct.html">DiagnosticReport/f201: Erasmus' diagnostic report of Roel's tumor</a> </span> </td> </tr> </table> </div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="resolved"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/> <code value="confirmed"/> </coding> </verificationStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> </coding> </category> <severity> <coding> <system value="http://snomed.info/sct"/> <code value="24484000"/> <display value="Severe"/> </coding> </severity> <code> <!-- The problem is a malignant tumor --> <coding> <system value="http://snomed.info/sct"/> <code value="363346000"/> <display value="Malignant neoplastic disease"/> </coding> </code> <bodySite> <!-- Head and neck malignancy --> <coding> <system value="http://snomed.info/sct"/> <code value="361355005"/> <display value="Entire head and neck"/> </coding> </bodySite> <subject> <!-- It entails Roel's problem --> <reference value="Patient/f201"/> <display value="Roel"/> </subject> <onsetAge> <value value="52"/> <unit value="years"/> <system value="http://unitsofmeasure.org"/> <code value="a"/> </onsetAge> <abatementAge> <value value="54"/> <unit value="years"/> <system value="http://unitsofmeasure.org"/> <code value="a"/> </abatementAge> <recordedDate value="2012-12-01"/> <evidence> <!-- Problem is confirmed in diagnostic report --> <reference> <reference value="DiagnosticReport/f201"/> <display value="Erasmus' diagnostic report of Roel's tumor"/> </reference> </evidence> </ Condition >
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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FHIR
Release
4
(Technical
Correction
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(v4.0.1)
R5
hl7.fhir.core#5.0.0
generated
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1,
2019
09:34+1100.
QA
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Sun,
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