Swedish Healthcare Service - Health Condition Description
0.1.0 - CI Build Sweden

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Official URL: https://inera.se/fhir/ig/clinicalprocess-healthcond-description/ImplementationGuide/se.inera.clinicalprocess.healthcond.description Version: 0.1.0
Draft as of 2025-10-27 Computable Name: seineraclinicalprocesshealthconddescription

Swedish Healthcare Service - Health Condition Description

Domain: clinicalprocess:healthcond:description
Version: 3.0.5
Status: Active

Introduction

This Implementation Guide documents the Swedish national service domain for health condition description (tillståndsbeskrivning). The domain handles information describing patient health status, including:

  • Care documentation (vårdanteckningar) - clinical notes and documentation
  • Diagnoses (diagnoser) - registered diagnoses
  • Alert information (uppmärksamhetsinformation) - allergies, serious conditions, restrictions
  • Functional status (funktionsstatus) - disability assessments and PADL evaluations

Swedish Name

Vård- och omsorg kärnprocess: hantera hälsorelaterade tillstånd: tillståndsbeskrivning

Purpose

This domain supports the healthcare profession's need for direct access to patient care information (sammanhållen journalföring - coherent medical records) as well as patient access to their own care information.

The service contracts handle patient medical records and clinical information describing health status, supporting service interactions where the consumer needs to read information from one or more source systems.

Service Contracts

This domain contains four main service contracts:

Service Version Description
GetCareDocumentation 3.0 Returns journal entries including investigation, treatment, summary, coordination, admission, discharge notes, and visit notes
GetDiagnosis 2.0 Returns registered diagnoses with one diagnosis code per original diagnostic occasion
GetAlertInformation 2.0 Returns alert information such as medication hypersensitivity, serious illness, or care restrictions
GetFunctionalStatus 2.0 Returns documented assessments of disabilities and/or activity capacity

Architecture Overview

The services support:

  • Aggregation - National aggregating services collect information from multiple source systems
  • Direct addressing - Direct access to specific source systems using HSA-ID
  • Engagement index - Source systems update engagement index to enable efficient queries
  • Partial data retrieval - Support for paged responses when datasets are large

Addressing Model

Access Need Logical Address
National Inera HSA-ID: 5565594230
Regional/Authority Regional/Authority HSA-ID
Source System Source system HSA-ID

Key Features

  • Supports access control according to PDL (Patient Data Law)
  • Blocking/consent checking capability
  • Patient access approval flagging
  • Audit logging support

Standards Compliance

  • Based on RIV Technical Framework 2.1
  • Compatible with NPÖ RIV 2.2.0 (where applicable)
  • HL7 CDA v. 2 compatible message formats (where applicable)
  • ISO 8601 date/time formats
  • DocBook v5.0 support for formatted text

Version Information

This specification documents version 3.0.5 of the domain, which includes:

  • GetCareDocumentation v3.0 (major update)
  • GetDiagnosis v2.0 (unchanged)
  • GetAlertInformation v2.0 (unchanged)
  • GetFunctionalStatus v2.0 (unchanged)

Authors and Contributors

Publisher: Inera AB
Copyright: 2024+

This specification is based on the Swedish national healthcare integration framework and follows RIV Technical Advisories and standards.