International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Condition (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips Version: 1.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: ConditionUvIps

This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.

Representation of a problem in the international patient summary

Usage:

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..*ConditionDocumentation of a health problem of the patient
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject S1..1Reference(Patient (IPS))Who has the condition?
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDocumentation of a health problem of the patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate

... severity S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPScandidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(Patient (IPS))Who has the condition?
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDocumentation of a health problem of the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate

... severity S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPScandidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(Patient (IPS))Who has the condition?
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.subject.typeextensibleResourceType
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Condition

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDocumentation of a health problem of the patient
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject S1..1Reference(Patient (IPS))Who has the condition?
.... reference S1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] S0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDocumentation of a health problem of the patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate

... severity S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPScandidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(Patient (IPS))Who has the condition?
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDocumentation of a health problem of the patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC)candidate

... severity S0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPScandidate
... code S1..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Setcandidate
Absent or Unknown Problems - IPScandidate
... bodySite 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(Patient (IPS))Who has the condition?
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

An alternative additional binding to the LOINC "Problem" code - retained for backward compatibility.

Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

An alternative additional binding to LOINC answer codes for condition/problem severity

Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.subject.typeextensibleResourceType
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 2 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Maturity: 2

 

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