US Core Implementation Guide
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US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Resource Profile: US Core Condition Problems and Health Concerns Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns Version: 8.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreConditionProblemsHealthConcernsProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.18

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The US Core Condition Problems and Health Concerns Profile inherits from the FHIR Condition resource; refer to it for scope and usage definitions. US Core version 5.0.0 split the US Core Condition Profile into this profile and the US Core Condition Encounter Diagnosis Profile. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Problems, Health Concerns, and SDOH Problems/Health Concerns Data Elements. It sets minimum expectations for the Condition resource to record, search, and fetch information about a condition, diagnosis, or another event, situation, issue, or clinical concept documented and categorized as a problem or health concern, including information about a Social Determinants of Health related condition. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

This page has new content for US Core Version 8.0.0

Example Usage Scenarios:

The following are example usage scenarios for this profile:

  • Query for a Patient's current or historical problems and health concerns
  • Record or update a Patient's problems and health concerns

Mandatory and Must Support Data Elements

The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Condition Must Have:

  1. a category code of "problem-list-item" or "health-concern"
  2. a code that identifies the condition*
  3. a patient

Each Condition Must Support:

  1. additional health status/assessment categories*
  2. a timestamp when the resource last changed*
  3. a clinical status of the condition (e.g., active or resolved)
  4. a verification status
  5. a date of diagnosis*
  6. abatement date (in other words, date of resolution or remission)
  7. a date when recorded*

*see guidance below

Profile Specific Implementation Guidance:

  • For Encounter Diagnosis, use the US Core Condition Encounter Diagnosis Profile.
  • *The Condition.code has an additional binding of "current" and a base "preferred" binding.
    • For the conformance rules on the current binding for coded data, review this section in the General Requirements page.
    • USCDI's applicable vocabulary standards for Problems/Health Concerns are SNOMED CT and ICD-10-CM.
      • The US Core Condition Codes only supports ICD-9-CM for historical purposes. ICD-10-CM is available and SHOULD be used as the primary code for current encounter diagnoses.
  • See the Screening and Assessments guidance page for more information when exchanging Social Determinants of Health (SDOH) Problems/Health Concerns.
  • *The category of "problem-list-item" or "health-concern" is required, and, at a minimum, Servers SHALL support, a category of "sdoh", SHOULD support the other US Core Simple Observation Category codes, and MAY support other categories.
    • If the category is "problem-list-item", Condition.clinicalStatus SHOULD be present.
  • *There is no single element in Condition that represents the date of diagnosis. It may be the assertedDate Extension, Condition.onsetDateTime, or Condition.recordedDate.
    • Although all three are marked as Must Support, the Server is not required to support all.
    • A Server SHALL support Condition.recordedDate.
      • A Server SHALL support at least one of assertedDate Extension and Condition.onsetDateTime. A Server may support both, which means they support all 3 locations.
      • The Client application SHALL support all three elements.
  • * See the US Core General Guidance page for Searching Using lastUpdated. Updates to Meta.lastUpdated SHOULD reflect:
    • New problems and health concerns
    • Changes in the clinical status or verifications status of problems or health concerns

Usage:

Changes since version 7.0.0:

  • The data elements list has changed

    • Formal Views of Profile Content

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

    This structure is derived from Condition

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
    ... meta S 0..1 Meta Metadata about the resource
    .... lastUpdated S 0..1 instant When the resource last changed
    ... Slices for extension Content/Rules for all slices
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding
    ... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required
    ... subject S 1..1 Reference(US Core Patient Profile S | Group) Who has the condition?
    ... onset[x] S 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] S 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate S 0..1 dateTime Date record was first recorded

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Condition 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
    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 SΣ 0..1 Meta Metadata about the resource
    ele-1: All FHIR elements must have a @value or children
    .... lastUpdated SΣ 0..1 instant When the resource last changed
    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
    ... Slices for extension Content/Rules for all slices
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ele-1: All FHIR elements must have a @value or children
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ele-1: All FHIR elements must have a @value or children
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    ele-1: All FHIR elements must have a @value or children
    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ele-1: All FHIR elements must have a @value or children
    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding

    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required

    ele-1: All FHIR elements must have a @value or children
    ... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
    ele-1: All FHIR elements must have a @value or children
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    ele-1: All FHIR elements must have a @value or children
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 When in resolution/remission
    ele-1: All FHIR elements must have a @value or children
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Condition 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 Σ 0..1 id Logical id of this artifact
    ... meta SΣ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated SΣ 0..1 instant When the resource last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


    ... 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 BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding

    ... 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 SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required
    ... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


    ... subject SΣ 1..1 Reference(US Core Patient Profile S | Group) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 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
    ... stage C 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    .... type 0..1 CodeableConcept Kind of staging
    Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note 0..* Annotation Additional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.meta.securityextensibleAll Security Labels
    http://hl7.org/fhir/ValueSet/security-labels
    from the FHIR Standard
    Condition.meta.tagexampleCommonTags
    http://hl7.org/fhir/ValueSet/common-tags
    from the FHIR Standard
    Condition.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG
    Condition.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Condition.stage.summaryexampleConditionStage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.stage.typeexampleConditionStageType
    http://hl7.org/fhir/ValueSet/condition-stage-type
    from the FHIR Standard
    Condition.evidence.codeexampleManifestationAndSymptomCodes
    http://hl7.org/fhir/ValueSet/manifestation-or-symptom
    from the FHIR Standard

    This structure is derived from Condition

    Summary

    Mandatory: 3 elements
    Must-Support: 13 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Condition.category

    Maturity: 3

    Differential View

    This structure is derived from Condition

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
    ... meta S 0..1 Meta Metadata about the resource
    .... lastUpdated S 0..1 instant When the resource last changed
    ... Slices for extension Content/Rules for all slices
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding
    ... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required
    ... subject S 1..1 Reference(US Core Patient Profile S | Group) Who has the condition?
    ... onset[x] S 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] S 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate S 0..1 dateTime Date record was first recorded

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Condition 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
    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 SΣ 0..1 Meta Metadata about the resource
    ele-1: All FHIR elements must have a @value or children
    .... lastUpdated SΣ 0..1 instant When the resource last changed
    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
    ... Slices for extension Content/Rules for all slices
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ele-1: All FHIR elements must have a @value or children
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ele-1: All FHIR elements must have a @value or children
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    ele-1: All FHIR elements must have a @value or children
    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ele-1: All FHIR elements must have a @value or children
    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding

    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required

    ele-1: All FHIR elements must have a @value or children
    ... subject SΣ 1..1 Reference(US Core Patient Profile) Who has the condition?
    ele-1: All FHIR elements must have a @value or children
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    ele-1: All FHIR elements must have a @value or children
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 When in resolution/remission
    ele-1: All FHIR elements must have a @value or children
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* Condition 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 Σ 0..1 id Logical id of this artifact
    ... meta SΣ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated SΣ 0..1 instant When the resource last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


    ... 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 BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by value:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept USCDI Health Status/Assessments Data Class
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

    Additional BindingsPurpose
    US Core Screening Assessment Condition Category Min Binding

    ... 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 SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: US Core Condition Codes (preferred): Valueset to describe the actual problem experienced by the patient

    Additional BindingsPurpose
    US Core Condition Codes Required
    ... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


    ... subject SΣ 1..1 Reference(US Core Patient Profile S | Group) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 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
    ... stage C 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Simple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
    .... type 0..1 CodeableConcept Kind of staging
    Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note 0..* Annotation Additional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Condition.meta.securityextensibleAll Security Labels
    http://hl7.org/fhir/ValueSet/security-labels
    from the FHIR Standard
    Condition.meta.tagexampleCommonTags
    http://hl7.org/fhir/ValueSet/common-tags
    from the FHIR Standard
    Condition.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    from this IG
    Condition.category:screening-assessmentrequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    from this IG
    Additional Bindings Purpose
    US Core Screening Assessment Condition Category Min Binding
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codepreferredUSCoreConditionCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
    from this IG
    Condition.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Condition.stage.summaryexampleConditionStage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.stage.typeexampleConditionStageType
    http://hl7.org/fhir/ValueSet/condition-stage-type
    from the FHIR Standard
    Condition.evidence.codeexampleManifestationAndSymptomCodes
    http://hl7.org/fhir/ValueSet/manifestation-or-symptom
    from the FHIR Standard

    This structure is derived from Condition

    Summary

    Mandatory: 3 elements
    Must-Support: 13 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Condition.category

    Maturity: 3

     

    Other representations of profile: CSV, Excel, Schematron

    Notes:

    Quick Start

    Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

    • See the Scopes Format section for a description of the SMART scopes syntax.
    • See the Search Syntax section for a description of the US Core search syntax.
    • See the General Requirements section for additional rules and expectations when a Server requires status parameters.
    • See the General Guidance section for additional guidance on searching for multiple patients.

    US Core Scopes

    Servers providing access to problems and health concern data SHALL support these US Core SMART Scopes:

    • resource level scopes: <patient|user|system>/Condition.rs

    • granular scopes: <patient|user|system>/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item

    • granular scopes: <patient|user|system>/Condition.rs?category=http://hl7.org/fhir/us/core/CodeSystem/condition-category|health-concern

    Mandatory Search Parameters:

    The following search parameters and search parameter combinations SHALL be supported:

    1. SHALL support searching for all conditions including problems, health concerns, and encounter diagnosis for a patient using the patient search parameter:

      GET [base]/Condition?patient={Type/}[id]

      Example:

      1. GET [base]/Condition?patient=1137192

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient (how to search by reference)

    2. SHALL support searching using the combination of the patient and category search parameters:

      GET [base]/Condition?patient={Type/}[id]&category={system|}[code]

      Example:

      1. GET [base]/Condition?patient=1032702&category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item
      2. GET [base]/Condition?patient=1032702&category=http://hl7.org/fhir/us/core/CodeSystem/condition-category|health-concern
      3. GET [base]/Condition?patient=1032702&category=http://terminology.hl7.org/CodeSystem/condition-category|encounter-diagnosis

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category. (how to search by reference and how to search by token)

    Optional Search Parameters:

    The following search parameter combinations SHOULD be supported:

    1. SHOULD support searching using the combination of the patient and clinical-status search parameters:

      GET [base]/Condition?patient={Type/}[id]&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active,http://terminology.hl7.org/CodeSystem/condition-clinical|recurrance,http://terminology.hl7.org/CodeSystem/condition-clinical|remission

      Example:

      1. GET [base/Condition?patient=1032702&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active,http://terminology.hl7.org/CodeSystem/condition-clinical|recurrance,http://terminology.hl7.org/CodeSystem/condition-clinical|remission

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and all "active" statuses (active,relapse,remission). This will exclude diagnoses and health concerns without a clinicalStatus specified. (how to search by reference and how to search by token)

    2. SHOULD support searching using the combination of the patient and category and clinical-status search parameters:

      GET [base]/Condition?patient={Type/}[id]&category={system|}[code]&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active,http://terminology.hl7.org/CodeSystem/condition-clinical|recurrance,http://terminology.hl7.org/CodeSystem/condition-clinical|remission

      Example:

      1. GET [base]/Condition?patient=1032702&category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active,http://terminology.hl7.org/CodeSystem/condition-clinical|recurrance,http://terminology.hl7.org/CodeSystem/condition-clinical|remission

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category for all "active" statuses (active,relapse,remission). This will exclude diagnoses and health concerns without a clinicalStatus specified. (how to search by reference and how to search by token)

    3. SHOULD support searching using the combination of the patient and category and encounter search parameters:

      GET [base]/Condition?patient={Type/}[id]&category={system|}[code]&encounter={Type/}[id]

      Example:

      1. GET [base]/Condition?patient=1032702&category=http://terminology.hl7.org/CodeSystem/condition-category|encounter-diagnosis&encounter=1036

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category and encounter. When category = "encounter-diagnosis" will return the encounter diagnosis for the encounter. (how to search by reference and how to search by token)

    4. SHOULD support searching using the combination of the patient and code search parameters:

      GET [base]/Condition?patient={Type/}[id]&code={system|}[code]

      Example:

      1. GET [base]/Condition?patient=1032702&code=[http://snomed.info/sct|442311008]

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and code. (how to search by reference and how to search by token)

    5. SHOULD support searching using the combination of the patient and onset-date search parameters:
      • including support for these onset-date comparators: gt,lt,ge,le
      • including optional support for AND search on onset-date (e.g.onset-date=[date]&onset-date=[date]]&...)

      GET [base]/Condition?patient={Type/}[id]&onset-date={gt|lt|ge|le}[date]{&onset-date={gt|lt|ge|le}[date]&...}

      Example:

      1. GET [base]Condition?patient=555580&onset-date=ge2018-01-14

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and date. (how to search by reference and how to search by date)

    6. SHOULD support searching using the combination of the patient and asserted-date search parameters:
      • including support for these asserted-date comparators: gt,lt,ge,le
      • including optional support for AND search on asserted-date (e.g.asserted-date=[date]&asserted-date=[date]]&...)

      GET [base]/Condition?patient={Type/}[id]&asserted-date={gt|lt|ge|le}[date]{&asserted-date={gt|lt|ge|le}[date]&...}

      Example:

      1. GET [base]Condition?patient=555580&asserted-date=ge2018-01-14

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and date. (how to search by reference and how to search by date)

    7. SHOULD support searching using the combination of the patient and recorded-date search parameters:
      • including support for these recorded-date comparators: gt,lt,ge,le
      • including optional support for AND search on recorded-date (e.g.recorded-date=[date]&recorded-date=[date]]&...)

      GET [base]/Condition?patient={Type/}[id]&recorded-date={gt|lt|ge|le}[date]{&recorded-date={gt|lt|ge|le}[date]&...}

      Example:

      1. GET [base]Condition?patient=555580&recorded-date=ge2018-01-14

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and date. (how to search by reference and how to search by date)

    8. SHOULD support searching using the combination of the patient and abatement-date search parameters:
      • including support for these abatement-date comparators: gt,lt,ge,le
      • including optional support for AND search on abatement-date (e.g.abatement-date=[date]&abatement-date=[date]]&...)

      GET [base]/Condition?patient={Type/}[id]&abatement-date={gt|lt|ge|le}[date]{&abatement-date={gt|lt|ge|le}[date]&...}

      Example:

      1. GET [base]Condition?patient=555580&abatement-date=ge2018-01-14

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and date. (how to search by reference and how to search by date)

    9. SHOULD support searching using the combination of the patient and _lastUpdated search parameters:
      • including support for these _lastUpdated comparators: gt,lt,ge,les
      • including optional support for AND search on _lastUpdated (e.g._lastUpdated=[date]&_lastUpdated=[date]]&...)

      GET [base]/Condition?patient={Type/}[id]&_lastUpdated={gt|lt|ge|le}[date]{&_lastUpdated={gt|lt|ge|le}[date]&...}

      Example:

      1. GET [base]/Condition?patient=1032702&_lastUpdated=ge2024-01-01T00:00:00Z

      Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and _lastUpdated. See the US Core General Guidance page for Searching Using lastUpdated. (how to search by reference and how to search by token and how to search by date)