DK MedCom Condition List
1.0.1 - release
DK MedCom Condition List
1.0.1 - release
This page is part of the DK MedCom Condition List (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://medcomfhir.dk/ig/conditionlist/StructureDefinition/medcom-conditionlist-composition | Version: 1.0.1 | |||
| Active as of 2025-05-13 | Computable Name: MedComConditionListComposition | |||
A profile for the MedCom ConditionList Composition resource.
The MedComDocumentComposition profile defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type is 'document', and any other resources referenced from Composition must be included as subsequent entries in the Bundle.entry element. The Composition resource organizes clinical and administrative content into sections, each of which contains a narrative, and references other resources.
The Composition.section.entry for this standard is the diagnoses which are represented in the MedComConditionListCondition profile. Therefore, is the Composition.section.entry restricted to only reference that profile.
The Composition.title must be (in Danish) "Diagnoseoversigt for 'CPR-nummer'", where 'CPR-nummer' is the actual identifier for the patient (Patient.identifier.value).
The Composition.type is fixed to the LOINC code "11450-4 Problem List", as it represents the content of the document on a high level.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  Composition |
0..* | MedComDocumentComposition | A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |||||
  meta |
Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
   profile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children | ||||
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
| language |
S | 1..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
ele-1: All FHIR elements must have a @value or children Required Pattern: da | ||||
| text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | ||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: final | ||||
| type |
SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | ||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children | ||||
 subject |
SΣ | 1..1 | Reference(MedComDocumentPatient) {b} | Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children | ||||
| date |
SΣ | 1..1 | dateTime | Last update of the condition list ele-1: All FHIR elements must have a @value or children | ||||
 Slices for author |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) {b} | Who and/or what authored the composition Slice: Unordered, Closed by type:$this.resolve() ele-1: All FHIR elements must have a @value or children | ||||
  author:institution |
SΣ | 1..1 | Reference(MedComConditionListOrganization) | The organization who authored the document ele-1: All FHIR elements must have a @value or children | ||||
 author:person |
SΣ | 0..1 | Reference(MedComDocumentPractitioner) | The person who authored the document ele-1: All FHIR elements must have a @value or children | ||||
| title |
SΣ | 1..1 | string | Expected: 'Diagnoseoversigt for **CPR-nummer**' ele-1: All FHIR elements must have a @value or children | ||||
| confidentiality |
SΣ | 1..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: N | ||||
| attester |
S | 0..1 | BackboneElement | Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children | ||||
| party |
S | 0..1 | Reference(MedComDocumentPractitioner) {b} | Who attested the composition ele-1: All FHIR elements must have a @value or children | ||||
| event |
SΣ | 0..1 | BackboneElement | The clinical service(s) being documented ele-1: All FHIR elements must have a @value or children | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
| code |
SΣ | 0..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation ele-1: All FHIR elements must have a @value or children | ||||
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children | ||||
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children | ||||
| detail |
SΣ | 0..* | Reference(Resource) | The event(s) being documented ele-1: All FHIR elements must have a @value or children | ||||
 section |
SC | 1..* | BackboneElement | Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children | ||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children | ||||
| entry |
SC | 1..* | Reference(MedComConditionListCondition) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | Pattern: dahttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | preferred | Pattern: LOINC Code 11450-4("Problem list - Reported")http://hl7.org/fhir/ValueSet/doc-typecodesfrom the FHIR Standard | ||||
| Composition.confidentiality | required | Pattern: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode |
Other representations of profile: CSV, Excel, Schematron
