This page is part of the HL7 Belgium FHIR Implementation Guide - Core clinical profiles - transversal (v1.0.0: Trial Use) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings

Resource Profile: BeProblem

Official URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-problem				Version: 1.0.0
Active as of 2021-01-10	Maturity Level: 1	Responsible: eHealth Platform	Realm: BE	Computable Name: BeProblem

Belgian federal profile. Initially based on the functional description of the NIHDI. Defines a patient’s known problem, a diagnostic or antecedent that deserves attention.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Max Binding: AllLanguages
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	BeVSProblemCategory
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	extensible	BeVSProblemCode
Condition.bodySite	required	BeVSBodySite
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Id	Grade	Path	Details	Requirements
con-3	Best Practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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	Condition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.extension:ProblemOriginType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension:ProblemOriginType	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.clinicalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.verificationStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.severity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.bodySite.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.bodySite.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.bodySite.extension:laterality	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.bodySite.extension:laterality	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.bodySite.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.bodySite.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.onset[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.abatement[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.recordedDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
ele-1	error	Condition.stage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.stage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.stage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.stage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.stage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.stage.summary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.stage.assessment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.stage.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	error	Condition.evidence	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.evidence.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.evidence.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.evidence.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.evidence.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Condition.evidence.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.evidence.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Condition.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())