ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.2 - draft

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

Resource Profile: Condition Enfermedad ÚNICAS

Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASConditionEnfermedad Version: 0.0.2
Draft as of 2025-11-10 Computable Name: UNICASConditionEnfermedad

Este profile define las restricciones del recurso Condition para representar el registro de una enfermedad previa o una enfermedad neonatal en el contexto del caso de uso de ÚNICAS.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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 la enfermedad
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.
... category C 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
... code Σ 1..1 CodeableConcept Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... coding Σ 1..* Coding Code defined by a terminology system
..... system Σ 1..1 uri URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... code ΣC 1..1 code Código del enfermedad
..... display ΣC 1..1 string Descripción del enfermedad
.... 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 BindingsPurposeDocumentation
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
... onset[x] Σ 1..1 dateTime Fecha de inicio
... participant Σ 0..* 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 BindingsPurposeDocumentation
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

doco 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 Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.code Base preferred Value set de Enfermedades 📦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.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.

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 la enfermedad
Example ÚNICAS: 123456
... category 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
.... coding
..... system 0..1 uri URL del SNOMED CT. Extensión para España del SNS
..... code 0..1 code Código de la clasificación de enfermedad
..... display 0..1 string Descripción de la clasificación de enfermedad
... code 1..1 CodeableConcept Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... coding 1..* Coding Code defined by a terminology system
..... system 1..1 uri URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... code 1..1 code Código del enfermedad
..... display 1..1 string Descripción del enfermedad
.... text 0..1 string Descripción narrativa, registrada por el professional
.... 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 BindingsPurposeDocumentation
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
... onset[x] 1..1 dateTime Fecha de inicio
... participant 0..* 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 BindingsPurposeDocumentation
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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.code Base preferred Value set de Enfermedades 📦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.

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]+$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 la enfermedad
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.
... category C 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
.... 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 de la clasificación de enfermedad
..... display ΣC 0..1 string Descripción de la clasificación de enfermedad
..... 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 Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... 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 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 | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del enfermedad
..... display ΣC 1..1 string Descripción del enfermedad
..... 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 BindingsPurposeDocumentation
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) The Encounter during which this Condition was created
... onset[x] Σ 1..1 dateTime Fecha de inicio
... 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 0..* 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 BindingsPurposeDocumentation
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).
... evidence Σ 0..* CodeableReference(Resource) Supporting evidence for the verification status
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco 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 Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Condition.code Base preferred Value set de Enfermedades 📦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.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.

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]+$')

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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 la enfermedad
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.
... category C 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
... code Σ 1..1 CodeableConcept Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... coding Σ 1..* Coding Code defined by a terminology system
..... system Σ 1..1 uri URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... code ΣC 1..1 code Código del enfermedad
..... display ΣC 1..1 string Descripción del enfermedad
.... 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 BindingsPurposeDocumentation
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
... onset[x] Σ 1..1 dateTime Fecha de inicio
... participant Σ 0..* 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 BindingsPurposeDocumentation
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

doco 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 Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.code Base preferred Value set de Enfermedades 📦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.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.

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 la enfermedad
Example ÚNICAS: 123456
... category 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
.... coding
..... system 0..1 uri URL del SNOMED CT. Extensión para España del SNS
..... code 0..1 code Código de la clasificación de enfermedad
..... display 0..1 string Descripción de la clasificación de enfermedad
... code 1..1 CodeableConcept Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... coding 1..* Coding Code defined by a terminology system
..... system 1..1 uri URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... code 1..1 code Código del enfermedad
..... display 1..1 string Descripción del enfermedad
.... text 0..1 string Descripción narrativa, registrada por el professional
.... 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 BindingsPurposeDocumentation
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
... onset[x] 1..1 dateTime Fecha de inicio
... participant 0..* 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 BindingsPurposeDocumentation
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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.code Base preferred Value set de Enfermedades 📦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.

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 la enfermedad
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.
... category C 0..* CodeableConcept Clasificación de enfermedad: enfermedades previas | trastorno neonatal
Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
.... 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 de la clasificación de enfermedad
..... display ΣC 0..1 string Descripción de la clasificación de enfermedad
..... 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 Enfermedad
Binding: Value set de Enfermedades (preferred): Value set de Enfermedades
.... 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 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 | OID del CIE-10-ES. Diagnósticos | OID del ORPHA
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del enfermedad
..... display ΣC 1..1 string Descripción del enfermedad
..... 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 BindingsPurposeDocumentation
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) The Encounter during which this Condition was created
... onset[x] Σ 1..1 dateTime Fecha de inicio
... 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 0..* 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 BindingsPurposeDocumentation
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).
... evidence Σ 0..* CodeableReference(Resource) Supporting evidence for the verification status
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco 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 Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍5.0.0 FHIR Std.
Condition.code Base preferred Value set de Enfermedades 📦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.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.

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]+$')

 

Other representations of profile: CSV, Excel, Schematron

ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.