Status: DRAFT: For Review

Definition: A reason why a person is receiving support.

Introduction

This profile sets minimum expectations for the Social Care Support Reason resource which is modelled using the UK Core Condition resource. The FHIR Condition resource was chosen to model the Support Reason as it was the most akin in terms of logic and structure. Many of the irrelevant health fields have been stripped from this resource which has created a clear and concise model for population. We will simply refer to this resource as a Support Reason throughout the remainder of the notes section.

Coverage and references

• A Data Provider MUST offer FHIR resources to represent its own service users' support reasons.
• If the value held in the primarySupportReasonFlag changes, this should end date the current support reason and create a new record.
• When referencing a Support Reason from another resource, the provider must populate the reference.display with the value held in the Support Reason code.display.

Support Reason Period

The Support Reason Period is the duration where support is given for the specified reason. The Condition resource offered two date fields which seemed to be suitable candidates for holding this data these being 'onset' and 'abatement'. However, the description of these fields, and rules which needed to be applied during their usage in order to be FHIR compliant, made using them unnecessarily complicated. Therefore, we have chosen to remove both date fields, and create our own extension, SupportReasonPeriod, to house this data.

Mandatory fields

The following fields are mandatory:

1. clinicalStatus - A mandatory flag to indicate whether the support reason is active or not. We limit the valueset to the following values; active

   inactive

2. category - This provides a level of categorisation i.e. Physical Support, Sensory Support etc. We extend the care connect valueset to include a defined a list of codes derived from the Social Care Client Level Data V5 Specification. The care connect values are not applicable for social care purposes and should be ignored. Unfortunately we are unable to remove them from the valueset, as the care connect profile marks it as extensible.

3. code - code is used to house the 'type' of support reason. This should always be known, and vital for meaningful display purposes. We have defined a list of codes derived from the Social Care Client Level Data V5 Specification.

4. subject - The person which is the subject of the support reason.

5. supportReasonPeriod - The date that the person started to receive support for this support reason. Start date of the person receiving support is mandatory. End date is marked as Must support and should be populated if known to represent the date that the person stopped receiving support for this reason.

Must Support fields

In addition, the following fields are "Must Support" - i.e. they must be populated if relevant and known:

1. primarySupportReason - This is an extension required by social care to specify whether this is the person's primary reason for support. It is simple true/false field and should be offered where known.

Optional fields

Other fields are optional and may be populated if known - on the understanding that not all data consumers will necessarily make use of them. Optional fields to note include:

• note - Use note to enter further detail on the support reason.

• recordedDate - The date that the support reason was recognised/diagnosed.

• asserter - Optionally provide the practitioner who asserted the support reason.

Discouraged or Removed fields

• abatement and onSet - Removed to avoid confusion when supplying the Support Reason Period (See mandatory notes section above).

• ConditionEpisode - An extension which is not relevant here.

The following fields have been removed as they capture Health Care related data which is not relevant in Social Care:

• verificationStatus
• severity
• bodySite
• stage
• evidence
• encounter
• recorder

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from UKCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses
id	S	0..1	id	Logical id of this artifact
meta
id		0..0
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
id		0..0
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
version		0..0
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
id		0..0
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
version		0..0
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:conditionEpisode		0..0
Slices for extension				Content/Rules for all slices
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
Slices for extension				Content/Rules for all slices
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
Slices for identifier		0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier		0..1	Identifier	External Ids for this condition
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	S	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique
period		0..0
assigner		0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus		1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
verificationStatus		0..0
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
severity		0..0
code		1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
bodySite		0..0
subject		1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
encounter		0..0
onset[x]		0..0
abatement[x]		0..0
recordedDate		0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
recorder		0..0
asserter		0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
stage		0..0
evidence		0..0
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier	Σ	0..1	Identifier	External Ids for this condition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	SΣ	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
code	SΣ	1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
subject	SΣ	1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
recordedDate	Σ	0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
asserter	Σ	0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Source	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Provenance	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.identifier:localIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG

Constraints

Id	Grade	Path(s)	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	**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()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier	Σ	0..1	Identifier	External Ids for this condition
id		0..1	string	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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	SΣ	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
id		0..1	string	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	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
code	SΣ	1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
id		0..1	string	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	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
recordedDate	Σ	0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
asserter	Σ	0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Source	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Provenance	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.identifier:localIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.identifier:localIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	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	**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()

Differential View

This structure is derived from UKCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses
id	S	0..1	id	Logical id of this artifact
meta
id		0..0
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
id		0..0
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
version		0..0
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
id		0..0
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
version		0..0
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:conditionEpisode		0..0
Slices for extension				Content/Rules for all slices
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
Slices for extension				Content/Rules for all slices
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
Slices for identifier		0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier		0..1	Identifier	External Ids for this condition
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	S	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique
period		0..0
assigner		0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus		1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
verificationStatus		0..0
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
severity		0..0
code		1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
bodySite		0..0
subject		1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
encounter		0..0
onset[x]		0..0
abatement[x]		0..0
recordedDate		0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
recorder		0..0
asserter		0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
stage		0..0
evidence		0..0
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier	Σ	0..1	Identifier	External Ids for this condition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	SΣ	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
code	SΣ	1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
subject	SΣ	1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
recordedDate	Σ	0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
asserter	Σ	0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Source	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Provenance	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.identifier:localIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG

Constraints

Id	Grade	Path(s)	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	**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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	UKCoreCondition	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to. Should list (i) this profile (ii) base profile for this resource.
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.interweavedigital.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
primarySupportReason	S	0..1	boolean	Flag to indicate whether this is the primary support reason URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
supportReasonPeriod	S	1..1	Period	The period during which the person received support for this support reason. URL: https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:localIdentifier	Σ	0..1	Identifier	External Ids for this condition
id		0..1	string	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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.interweavedigital.nhs.uk/Id/local-socialcaresupportreason-identifier
value	SΣ	1..1	string	The Local socialcaresupportreason Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(InterweaveOrganization)	Organization that issued id (may be just text)
clinicalStatus	?!SΣC	1..1	CodeableConcept	A mandatory flag to indicate whether the support reason is active or not. Valueset restricted to active and inactive only. Binding: InterweaveSocialCareSupportReasonClinicalStatus (required)
category	S	1..1	CodeableConcept	A categorisation of the reason why a person is receiving support. Binding: InterweaveSocialCareSupportReasonCategory (required)
id		0..1	string	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	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
code	SΣ	1..1	CodeableConcept	The type of support reason. Binding: InterweaveSocialCareSupportReason (required)
id		0..1	string	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	string	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	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(InterweavePatient)	The person which is subject of the support reason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
recordedDate	Σ	0..1	dateTime	Optionally supply the date that the support reason was recognised/diagnosed.
asserter	Σ	0..1	Reference(InterweavePractitioner)	Optionally provide the practitioner who asserted the support reason
note		0..*	Annotation	Can be used to provide further describe the support reason
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Condition.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Source	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.meta.tag:Provenance	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.identifier:localIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.identifier:localIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Condition.clinicalStatus	required	InterweaveSocialCareSupportReasonClinicalStatus https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonClinicalStatus from this IG
Condition.category	required	InterweaveSocialCareSupportReasonCategory https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReasonCategory from this IG
Condition.code	required	InterweaveSocialCareSupportReason https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-SocialCareSupportReason from this IG
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	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	**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()

This structure is derived from UKCoreCondition

Summary

Mandatory: 7 elements(14 nested mandatory elements)
Must-Support: 15 elements
Fixed: 3 elements
Prohibited: 16 elements

Structures

This structure refers to these other structures:

• InterweaveOrganization (https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Interweave-Organization)
• InterweavePatient (https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Interweave-Patient)
• InterweavePractitioner (https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Interweave-Practitioner)

Extensions

This structure refers to these extensions:

• https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCarePrimarySupportReason
• https://fhir.interweavedigital.nhs.uk/R4/StructureDefinition/Extension-Interweave-SocialCareSupportReasonPeriod

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.meta.tag
• The element 1 is sliced based on the value of Condition.identifier