ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Condition Diagnóstico ÚNICAS

Este profile define las restricciones del recurso Condition para representar el registro de un estudio diagnóstico en el contexto del caso de uso de ÚNICAS.

Usages:

• Use this Profile: Bundle Diagnósticos ÚNICAS
• Refer to this Profile: Encounter Interacción Clínica ÚNICAS and Goal Objetivo ÚNICAS
• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS

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-2, con-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el diagnóstico Example General: 123456 Example ÚNICAS: 123456
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	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.
Slices for category	C	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
category:ClasificacionDiagnostico	C	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
category:TipoDiagnostico	C	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
onset[x]	Σ	1..1	dateTime	Fecha de diagnóstico
participant	Σ	1..*	BackboneElement	Profesional sanitario
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
Slices for evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example)
evidence:GradoSospecha	Σ	0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
concept	Σ	0..1	CodeableConcept	Grado de sospecha
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text	Σ	0..1	string	Comentario
evidence:CriteriosSospecha	Σ	0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
concept	Σ	0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
text	Σ	0..1	string	Comentario
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍5.0.0	FHIR Std.
Condition.verificationStatus	Base	required	Condition Verification Status	📍5.0.0	FHIR Std.
Condition.category	Base	preferred	Condition Category Codes	📍5.0.0	FHIR Std.
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.subject.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.evidence	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown	category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.	abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			Condition
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789
value		1..1	string	Identificador interno del sistema para el diagnóstico Example ÚNICAS: 123456
Slices for category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:ClasificacionDiagnostico		1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		1..1	code	Código de la clasificación de diagnóstico
display		1..1	string	Descripción de la clasificación de diagnóstico
category:TipoDiagnostico		0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo diagnóstico
display		0..1	string	Descripción del tipo diagnóstico
code		1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding		1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code		1..1	code	Código del diagnóstico
display		1..1	string	Descripción del diagnóstico
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la interacción clínica Example ÚNICAS: 123456
onset[x]		1..1	dateTime	Fecha de diagnóstico
participant		1..*	BackboneElement	Profesional sanitario
actor		1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
Slices for evidence		0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this
evidence:GradoSospecha		0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
concept		0..1	CodeableConcept	Grado de sospecha
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code		0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095221000122101
display		0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor		0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display		0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text		0..1	string	Comentario
evidence:CriteriosSospecha		0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
concept		0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code		0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display		0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor		0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del criterio: 31874001 | 64100000
display		0..1	string	Descripción del criterio: verdadero | falso
text		0..1	string	Comentario
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el diagnóstico Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	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.
Slices for category	C	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
category:ClasificacionDiagnostico	C	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de la clasificación de diagnóstico
display	ΣC	1..1	string	Descripción de la clasificación de diagnóstico
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:TipoDiagnostico	C	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo diagnóstico
display	ΣC	0..1	string	Descripción del tipo diagnóstico
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
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
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
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
onset[x]	Σ	1..1	dateTime	Fecha de diagnóstico
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Profesional sanitario
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	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	id	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	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
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
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
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).
Slices for evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example)
evidence:GradoSospecha	Σ	0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Grado de sospecha
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
evidence:CriteriosSospecha	Σ	0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Condition.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍5.0.0	FHIR Std.
Condition.verificationStatus	Base	required	Condition Verification Status	📍5.0.0	FHIR Std.
Condition.category	Base	preferred	Condition Category Codes	📍5.0.0	FHIR Std.
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍5.0.0	FHIR Std.
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Condition.subject.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Condition.participant.​function	Base	extensible	Participation Role Type	📍5.0.0	FHIR Std.
Condition.participant.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍5.0.0	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍5.0.0	FHIR Std.
Condition.evidence	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown	category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.	abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Condition

Summary

Mandatory: 16 elements(3 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Condition.category
• The element 1 is sliced based on the values of Condition.evidence
• The element 1 is sliced based on the values of Condition.evidence.concept.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-2, con-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el diagnóstico Example General: 123456 Example ÚNICAS: 123456
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	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.
Slices for category	C	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
category:ClasificacionDiagnostico	C	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
category:TipoDiagnostico	C	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
onset[x]	Σ	1..1	dateTime	Fecha de diagnóstico
participant	Σ	1..*	BackboneElement	Profesional sanitario
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
Slices for evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example)
evidence:GradoSospecha	Σ	0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
concept	Σ	0..1	CodeableConcept	Grado de sospecha
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text	Σ	0..1	string	Comentario
evidence:CriteriosSospecha	Σ	0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
concept	Σ	0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
text	Σ	0..1	string	Comentario
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍5.0.0	FHIR Std.
Condition.verificationStatus	Base	required	Condition Verification Status	📍5.0.0	FHIR Std.
Condition.category	Base	preferred	Condition Category Codes	📍5.0.0	FHIR Std.
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.subject.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.evidence	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown	category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.	abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			Condition
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example ÚNICAS: urn:regcess:0123456789
value		1..1	string	Identificador interno del sistema para el diagnóstico Example ÚNICAS: 123456
Slices for category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:ClasificacionDiagnostico		1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		1..1	code	Código de la clasificación de diagnóstico
display		1..1	string	Descripción de la clasificación de diagnóstico
category:TipoDiagnostico		0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo diagnóstico
display		0..1	string	Descripción del tipo diagnóstico
code		1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding		1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code		1..1	code	Código del diagnóstico
display		1..1	string	Descripción del diagnóstico
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la interacción clínica Example ÚNICAS: 123456
onset[x]		1..1	dateTime	Fecha de diagnóstico
participant		1..*	BackboneElement	Profesional sanitario
actor		1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
Slices for evidence		0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this
evidence:GradoSospecha		0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
concept		0..1	CodeableConcept	Grado de sospecha
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code		0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095221000122101
display		0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor		0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display		0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text		0..1	string	Comentario
evidence:CriteriosSospecha		0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
concept		0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code		0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display		0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor		0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del criterio: 31874001 | 64100000
display		0..1	string	Descripción del criterio: verdadero | falso
text		0..1	string	Comentario
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

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-2, con-3
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el diagnóstico Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	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.
Slices for category	C	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
category:ClasificacionDiagnostico	C	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de la clasificación de diagnóstico
display	ΣC	1..1	string	Descripción de la clasificación de diagnóstico
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:TipoDiagnostico	C	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo diagnóstico
display	ΣC	0..1	string	Descripción del tipo diagnóstico
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
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	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	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
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
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
onset[x]	Σ	1..1	dateTime	Fecha de diagnóstico
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Profesional sanitario
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	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	id	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	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
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
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
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).
Slices for evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example)
evidence:GradoSospecha	Σ	0..*	CodeableReference(Resource)	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Grado de sospecha
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
evidence:CriteriosSospecha	Σ	0..*	CodeableReference(Resource)	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	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	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Condition.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍5.0.0	FHIR Std.
Condition.verificationStatus	Base	required	Condition Verification Status	📍5.0.0	FHIR Std.
Condition.category	Base	preferred	Condition Category Codes	📍5.0.0	FHIR Std.
Condition.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
Condition.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍5.0.0	FHIR Std.
Condition.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Condition.subject.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.subject.identifier.​type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.encounter.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Condition.participant.​function	Base	extensible	Participation Role Type	📍5.0.0	FHIR Std.
Condition.participant.​actor.type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Condition.participant.​actor.identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍5.0.0	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍5.0.0	FHIR Std.
Condition.evidence	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
Condition.evidence:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
Condition.evidence:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown	category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.	abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
regcess-system	warning	Condition.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema.	matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Condition

Summary

Mandatory: 16 elements(3 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of Condition.category
• The element 1 is sliced based on the values of Condition.evidence
• The element 1 is sliced based on the values of Condition.evidence.concept.coding