Implementation Guide CH VACD, published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-vacd/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH VACD Past Illness

Definition of the past illness part for all documents.

Usage:

• Use this Resource Profile: CH VACD Immunization Administration Document, CH VACD Vaccination Record Document and CH VACD Message Immunization Recommendation Request
• Refer to this Resource Profile: CH VACD Immunization Administration Composition, CH VACD VaccinationRecord Composition and CH VACD Immunization Recommendation Request MessageHeader
• Examples for this Resource Profile: Condition/8-4-Condition, Condition/8-8-Condition, Condition/TCB02-UNDILL1-2, Condition/TCB02-UNDILL1... Show 9 more, Condition/TCC05-UNDILL1, Condition/TCC05-UNDILL2, Condition/TCC05-UNDILL3, Condition/TCD02-UNDILL1-2, Condition/TCD02-UNDILL1, Condition/TCE01-UNDILL1-de, Condition/TCF03-UNDILL1, Condition/TCF03-UNDILL2 and Condition/TCF03-UNDILL3

Formal Views of Profile Content

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

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

This structure is derived from CHVACDCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	CHVACDCondition	CH VACD Past Illness Conditions
clinicalStatus		1..1	CodeableConcept	Resolved Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category		0..0
severity	S	0..1	CodeableConcept	Subjective severity of condition
code		1..1	CodeableConcept	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.
Slices for onset[x]		1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime	S	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place.
abatement[x]	S	0..1	dateTime, Age, Period, Range, string	When in resolution/remission
evidence
code	S	0..*	CodeableConcept	Manifestation/symptom
note	S	0..*	Annotation	Additional information about the Condition
author[x]	S	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHVACDCondition	CH VACD Past Illness Conditions 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
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
relatesTo	S	0..1	(Complex)	Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
conflict	S	0..*	(Complex)	Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference 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
identifier	Σ	1..*	Identifier	External Ids for this condition ele-1: All FHIR elements must have a @value or children
clinicalStatus	?!ΣC	1..1	CodeableConcept	Resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
severity	S	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. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization. Additional Bindings Purpose CH AllergyIntolerance Condition candidate ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	Σ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
onset[x]:onsetDateTime	SΣ	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place. ele-1: All FHIR elements must have a @value or children
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	1..1	dateTime	Condition recordedDate ele-1: All FHIR elements must have a @value or children
recorder	SΣ	0..1	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	SΣ	0..1	Reference(CH Core PractitionerRole)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Additional information about the Condition ele-1: All FHIR elements must have a @value or children
author[x]	SΣ	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	Pattern: resolved http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
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-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
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..*	CHVACDCondition	CH VACD Past Illness Conditions 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	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
relatesTo	S	0..1	(Complex)	Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
conflict	S	0..*	(Complex)	Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	Resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
severity	S	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	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization. Additional Bindings Purpose CH AllergyIntolerance Condition candidate
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core Encounter)	Encounter created as part of
Slices for onset[x]	Σ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	SΣ	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place.
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	1..1	dateTime	Condition recordedDate
recorder	SΣ	0..1	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(CH Core PractitionerRole)	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	SΣC	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	S	0..*	Annotation	Additional information about the 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
author[x]	SΣ	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	Pattern: resolved http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site 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-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
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 CHVACDCondition

Summary

Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.onset[x]

Differential View

This structure is derived from CHVACDCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	CHVACDCondition	CH VACD Past Illness Conditions
clinicalStatus		1..1	CodeableConcept	Resolved Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category		0..0
severity	S	0..1	CodeableConcept	Subjective severity of condition
code		1..1	CodeableConcept	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization.
Slices for onset[x]		1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime	S	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place.
abatement[x]	S	0..1	dateTime, Age, Period, Range, string	When in resolution/remission
evidence
code	S	0..*	CodeableConcept	Manifestation/symptom
note	S	0..*	Annotation	Additional information about the Condition
author[x]	S	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	CHVACDCondition	CH VACD Past Illness Conditions 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
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
relatesTo	S	0..1	(Complex)	Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
conflict	S	0..*	(Complex)	Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference 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
identifier	Σ	1..*	Identifier	External Ids for this condition ele-1: All FHIR elements must have a @value or children
clinicalStatus	?!ΣC	1..1	CodeableConcept	Resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
severity	S	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. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization. Additional Bindings Purpose CH AllergyIntolerance Condition candidate ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	Σ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
onset[x]:onsetDateTime	SΣ	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place. ele-1: All FHIR elements must have a @value or children
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	1..1	dateTime	Condition recordedDate ele-1: All FHIR elements must have a @value or children
recorder	SΣ	0..1	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	SΣ	0..1	Reference(CH Core PractitionerRole)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Additional information about the Condition ele-1: All FHIR elements must have a @value or children
author[x]	SΣ	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	Pattern: resolved http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
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-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
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..*	CHVACDCondition	CH VACD Past Illness Conditions 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	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
relatesTo	S	0..1	(Complex)	Entry Resource Cross References URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-ext-entry-resource-cross-references
conflict	S	0..*	(Complex)	Reference to related resource URL: http://fhir.ch/ig/ch-vacd/StructureDefinition/ch-vacd-ext-merging-conflict-entry-reference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	Resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resolved
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
severity	S	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	Past illness code Binding: CH VACD Target disease and illnesses undergone for immunization (extensible): The code for past illnesses for immunization. Additional Bindings Purpose CH AllergyIntolerance Condition candidate
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core Encounter)	Encounter created as part of
Slices for onset[x]	Σ	1..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	SΣ	1..1	dateTime	Condition onset DateTime to declare the disorder/illness hat taken place.
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	1..1	dateTime	Condition recordedDate
recorder	SΣ	0..1	Reference(CH Core PractitionerRole | CH Core Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(CH Core PractitionerRole)	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	SΣC	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	S	0..*	Annotation	Additional information about the 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
author[x]	SΣ	0..1	Reference(CH Core Practitioner | CH Core Patient | RelatedPerson | CH Core Organization)	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	Pattern: resolved http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ChVacdTargetDiseasesAndIllnessesUndergoneForImmunization http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-targetdiseasesandillnessesundergoneforimmunization-vs
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site 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-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
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 CHVACDCondition

Summary

Mandatory: 3 elements
Must-Support: 7 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.onset[x]

Other representations of profile: CSV, Excel, Schematron