SE.SOCIALSTYRELSEN.NIM\Tumör med lokalisation

Nationella informationsmängder - Local Development build (v0.1). See the Directory of published versions

Resource Profile: Tumör med lokalisation

Defining URL:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMTumorDiagnosis

Version:

0.1

Name:

NIMTumorDiagnosis

Title:

Tumör med lokalisation

Status:

Active as of 2021-03-30T19:36:18+02:00

Definition:

Tumör med lokalisation

Publisher:

Socialstyrelsen

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMTumorDiagnosis

Formal Views of Profile Content

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

This structure is derived from Condition

Summary

Mandatory: 1 element (1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMMacroscopicTumorVolume

Slices

This structure defines the following Slices:

The element Condition.evidence is sliced based on the value of pattern:code

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis
subject	S	1..1	Reference(Patient \| Group)	Who has the condition? NOTE: This might be an issue since the subject should be excluded for some source/destination systems
evidence		0..*	(Slice Definition)	Supporting evidence Slice: Unordered, Open by pattern:code
evidence:tumor-volume	S	0..*	BackboneElement	Supporting evidence
code		1..*	CodeableConcept	Manifestation/symptom Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228791009
detail	S	0..*	Reference(Tumörvolym)	Supporting information found elsewhere
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	Condition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	?!ΣI	0..1	CodeableConcept	active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣI	0..1	CodeableConcept	unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item \| encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the 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	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Patient \| Group)	Who has the condition? NOTE: This might be an issue since the subject should be excluded for some source/destination systems
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	Person who asserts this condition
stage	I	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	I	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	I	0..*	(Slice Definition)	Supporting evidence Slice: Unordered, Open by pattern:code
evidence:All Slices				Content/Rules for all slices
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	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣI	0..*	Reference(Resource)	Supporting information found elsewhere
evidence:tumor-volume	SI	0..*	BackboneElement	Supporting evidence
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	ΣI	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228791009
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
detail	SΣI	0..*	Reference(Tumörvolym)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	Condition	Detailed information about conditions, problems or diagnoses
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
subject	Σ	1..1	Reference(Patient \| Group)	Who has the condition? NOTE: This might be an issue since the subject should be excluded for some source/destination systems
evidence:tumor-volume	I	0..*	BackboneElement	Supporting evidence
detail	ΣI	0..*	Reference(Tumörvolym)	Supporting information found elsewhere
Documentation for this format

This structure is derived from Condition

Summary

Mandatory: 1 element (1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMMacroscopicTumorVolume

Slices

This structure defines the following Slices:

The element Condition.evidence is sliced based on the value of pattern:code

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis
subject	S	1..1	Reference(Patient \| Group)	Who has the condition? NOTE: This might be an issue since the subject should be excluded for some source/destination systems
evidence		0..*	(Slice Definition)	Supporting evidence Slice: Unordered, Open by pattern:code
evidence:tumor-volume	S	0..*	BackboneElement	Supporting evidence
code		1..*	CodeableConcept	Manifestation/symptom Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228791009
detail	S	0..*	Reference(Tumörvolym)	Supporting information found elsewhere
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	Condition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	?!ΣI	0..1	CodeableConcept	active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣI	0..1	CodeableConcept	unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item \| encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the 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	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Patient \| Group)	Who has the condition? NOTE: This might be an issue since the subject should be excluded for some source/destination systems
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	Person who asserts this condition
stage	I	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	I	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	I	0..*	(Slice Definition)	Supporting evidence Slice: Unordered, Open by pattern:code
evidence:All Slices				Content/Rules for all slices
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	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣI	0..*	Reference(Resource)	Supporting information found elsewhere
evidence:tumor-volume	SI	0..*	BackboneElement	Supporting evidence
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	ΣI	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228791009
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
detail	SΣI	0..*	Reference(Tumörvolym)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Max Binding: AllLanguages
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes
Condition.evidence:tumor-volume.code	example	Pattern: SNOMED CT code 228791009

Constraints

Id	Path	Details	Requirements
con-3	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	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	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	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	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	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Condition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.clinicalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.verificationStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.severity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.onset[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.abatement[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recordedDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-1	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
ele-1	Condition.stage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.summary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.assessment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-2	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	Condition.evidence	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-2	Condition.evidence:tumor-volume	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	Condition.evidence:tumor-volume	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence:tumor-volume.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence:tumor-volume.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence:tumor-volume.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence:tumor-volume.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence:tumor-volume.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence:tumor-volume.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())