COVID-19 FHIR Profile Library IG Informative Version
1.0.0 - Informative US

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## Resource Profile: COVID-19 gastrointestinal and hepatic underlying condition

Official URL: http://hl7.org/fhir/us/covid19library/StructureDefinition/underlying-gastrointestinal-hepatic-medical-condition | Version: 1.0.0
Active as of 2022-07-25 | Computable Name: COVID19GastrointestinalHepaticUnderlyingMedicalCondition
Copyright/Legal: HL7 International & Logica Health, all rights reserved Creative Commons License

An assertion that a specific gastrointestinal or hepatic condition is present as an underlier to COVID-19.

Usage:

- Refer to this Resource Profile:
- Examples for this Resource Profile: Condition/COVID19GastrointestinalHepaticUnderlyingMedicalConditionExample

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from USCoreCondition

Summary

Prohibited: 3 elements

This structure is derived from USCoreCondition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses
code |  | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 gastrointestinal or hepatic underlying condition reference set (extensible)
bodySite |  | 0..0 |  |
stage |  | 0..0 |  |
evidence |  | 0..0 |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ I | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ I | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category | S I | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 gastrointestinal or hepatic underlying condition reference set (extensible)
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | I | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses
clinicalStatus | ?!Σ I | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!Σ I | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category | I | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible)
code | Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 gastrointestinal or hepatic underlying condition reference set (extensible)
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
Documentation for this format

This structure is derived from USCoreCondition

Summary

Prohibited: 3 elements

Differential View

This structure is derived from USCoreCondition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses
code |  | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 gastrointestinal or hepatic underlying condition reference set (extensible)
bodySite |  | 0..0 |  |
stage |  | 0..0 |  |
evidence |  | 0..0 |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | I | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ I | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ I | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category | S I | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: COVID-19 gastrointestinal or hepatic underlying condition reference set (extensible)
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | I | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

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 | USCoreConditionCategoryCodes
Condition.severity | preferred | Condition/DiagnosisSeverity
Condition.code | extensible | COVID19UnderlyingGastrointestinalHepaticConditionVS
Condition.stage.summary | example | ConditionStage
Condition.stage.type | example | ConditionStageType
Condition.evidence.code | example | ManifestationAndSymptomCodes