FHIR CI-Build

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example StructureDefinition/Condition (XML)

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

StructureDefinition for condition

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Condition"/> 
  <meta> 
    <lastUpdated value="2022-11-23T14:50:25.425+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            qAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="Condition : A clinical condition, problem, diagnosis, or other event, situation,
             issue, or clinical concept that has risen to a level of concern.">Condition</span> 
            <a name="Condition"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Detailed information about conditions, problems or diagnoses
            <br/>  
            <span style="font-style: italic" title="con-2">+ Warning: If category is problems list item, the clinicalStatus should not be
               unknown</span> 
            <br/>  
            <span style="font-style: italic" title="con-3">+ Rule: If condition is abated, then clinicalStatus must be either inactive, resolved,
               or remission.</span> 
            <br/>  
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,
             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a
             strict set of governance  applied to the definition and use of extensions. Though
             any implementer can define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and manageable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="Condition.identifier : Business identifiers assigned to this condition by the performer
             or other systems which remain constant as the resource is updated and propagates
             from server to server.">identifier</span> 
            <a name="Condition.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">External Ids for this condition
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="Condition.clinicalStatus : The clinical status of the condition.">clinicalStatus</span> 
            <a name="Condition.clinicalStatus"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">active | recurrence | relapse | inactive | remission | resolved | unknown
            <br/>  
            <a href="valueset-condition-clinical.html">Condition Clinical Status Codes</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="Condition.verificationStatus : The verification status to support the clinical
             status of the condition.  The verification status pertains to the condition, itself,
             not to any specific condition attribute.">verificationStatus</span> 
            <a name="Condition.verificationStatus"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
            <br/>  
            <a href="valueset-condition-ver-status.html">ConditionVerificationStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="Condition.category : A category assigned to the condition.">category</span> 
            <a name="Condition.category"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">problem-list-item | encounter-diagnosis
            <br/>  
            <a href="valueset-condition-category.html">Condition Category Codes</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>  
            <br/>  
          </td> 
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="Condition.severity : A subjective assessment of the severity of the condition as
             evaluated by the clinician.">severity</span> 
            <a name="Condition.severity"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <a href="valueset-condition-severity.html">Condition/Diagnosis Severity</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="Condition.code : Identification of the condition, problem or diagnosis.">code</span> 
            <a name="Condition.code"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Identification of the condition, problem or diagnosis
            <br/>  
            <a href="valueset-condition-code.html">Condition/Problem/Diagnosis Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
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            <span title="Condition.bodySite : The anatomical location where this condition manifests itself.">bodySite</span> 
            <a name="Condition.bodySite"> </a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <a href="valueset-body-site.html">SNOMED CT Body Structures</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Condition.subject : Indicates the patient or group who the condition record is
             associated with.">subject</span> 
            <a name="Condition.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Who has the condition?
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="Condition.encounter : The Encounter during which this Condition was created or
             to which the creation of this record is tightly associated.">encounter</span> 
            <a name="Condition.encounter"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="encounter.html">Encounter</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The Encounter during which this Condition was created
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="Condition.onset[x] : Estimated or actual date or date-time  the condition began,
             in the opinion of the clinician.">onset[x]</span> 
            <a name="Condition.onset_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and
             minutes are specified, a UTC offset SHALL be populated. The format is a union of
             the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
             due to schema type constraints but may be zero-filled and may be ignored.     
                        Dates SHALL be valid dates.">onsetDateTime</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="A duration of time during which an organism (or a process) has existed.">onsetAge</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#Age">Age</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="A time period defined by a start and end date and optionally time.">onsetPeriod</span> 
          </td> 
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            <a href="datatypes.html#Period">Period</a> 
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            <span title="A set of ordered Quantities defined by a low and high limit.">onsetRange</span> 
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            <a href="datatypes.html#Range">Range</a> 
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            <span title="A sequence of Unicode characters">onsetString</span> 
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            <span title="Condition.abatement[x] : The date or estimated date that the condition resolved
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            <a name="Condition.abatement_x_"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#Age">Age</a> 
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            <span title="A time period defined by a start and end date and optionally time.">abatementPeriod</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="A set of ordered Quantities defined by a low and high limit.">abatementRange</span> 
          </td> 
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            <a href="datatypes.html#Range">Range</a> 
          </td> 
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            <span title="A sequence of Unicode characters">abatementString</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="Condition.recordedDate : The recordedDate represents when this particular Condition
             record was created in the system, which is often a system-generated date.">recordedDate</span> 
            <a name="Condition.recordedDate"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="Condition.participant : Indicates who or what participated in the activities related
             to the condition and how they were involved.">participant</span> 
            <a name="Condition.participant"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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             were involved
            <br/>  
            <br/>  
          </td> 
        </tr> 

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            <span title="Condition.participant.function : Distinguishes the type of involvement of the actor
             in the activities related to the condition.">function</span> 
            <a name="Condition.participant.function"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Type of involvement
            <br/>  
            <a href="valueset-participation-role-type.html">ParticipationRoleType</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="Condition.participant.actor : Indicates who or what participated in the activities
             related to the condition.">actor</span> 
            <a name="Condition.participant.actor"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="device.html">Device</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="careteam.html">CareTeam</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Who or what participated in the activities related to the condition
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            slgxaLR4/3rMAWoBp32V5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="Condition.stage : A simple summary of the stage such as &quot;Stage 3&quot; or
             &quot;Early Onset&quot;. The determination of the stage is disease-specific, such
             as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson
             disease.">stage</span> 
            <a name="Condition.stage"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Stage/grade, usually assessed formally
            <br/>  
            <span style="font-style: italic" title="con-1">+ Rule: Stage SHALL have summary or assessment</span> 
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="Condition.stage.summary : A simple summary of the stage such as &quot;Stage 3&quot;
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             such as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson
             disease.">summary</span> 
            <a name="Condition.stage.summary"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Simple summary (disease specific)
            <br/>  
            <a href="valueset-condition-stage.html">Condition Stage</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="Condition.stage.assessment : Reference to a formal record of the evidence on which
             the staging assessment is based.">assessment</span> 
            <a name="Condition.stage.assessment"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="clinicalimpression.html">ClinicalImpression</a>  | 
            <a href="diagnosticreport.html">DiagnosticReport</a>  | 
            <a href="observation.html">Observation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Formal record of assessment
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="Condition.stage.type : The kind of staging, such as pathological or clinical staging.">type</span> 
            <a name="Condition.stage.type"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Kind of staging
            <br/>  
            <a href="valueset-condition-stage-type.html">Condition Stage Type</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Condition.evidence : Supporting evidence / manifestations that are the basis of
             the Condition's verification status, such as evidence that confirmed or refuted
             the condition.">evidence</span> 
            <a name="Condition.evidence"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Supporting evidence for the verification status
            <br/>  
            <a href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
            5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="Condition.note : Additional information about the Condition. This is a general
             notes/comments entry  for description of the Condition, its diagnosis and prognosis.">note</span> 
            <a name="Condition.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Additional information about the Condition
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
  <version value="5.0.0-cibuild"/> 
  <name value="Condition"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2022-11-23T14:50:25+00:00"/> 
  <publisher value="Health Level Seven International (Patient Care)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
   clinical concept that has risen to a level of concern."/> 
  <fhirVersion value="5.0.0-cibuild"/> 
  <mapping> 
    <identity value="sct-concept"/> 
    <uri value="http://snomed.info/conceptdomain"/> 
    <name value="SNOMED CT Concept Domain Binding"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="sct-attr"/> 
    <uri value="http://snomed.org/attributebinding"/> 
    <name value="SNOMED CT Attribute Binding"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Condition"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Condition">
      <path value="Condition"/> 
      <short value="Detailed information about conditions, problems or diagnoses"/> 
      <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
       clinical concept that has risen to a level of concern."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="con-2"/> 
        <severity value="warning"/> 
        <human value="If category is problems list item, the clinicalStatus should not be unknown"/> 
        <expression value="category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category'
         and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://ter
        minology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()"/> 
        <xpath value="not(exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/conditi
        on-category' and f:code/@value='problem-list-item'])) or not(exists(f:clinicalStatus/f:coding[
        f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value='
        unknown']))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <constraint> 
        <key value="con-3"/> 
        <severity value="error"/> 
        <human value="If condition is abated, then clinicalStatus must be either inactive, resolved,
         or remission."/> 
        <expression value="abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/Co
        deSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exi
        sts())"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'abatement')])) or (not(exists(f:clinicalStatus))
         or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/co
        ndition-clinical' and f:code/@value=('inactive', 'resolved', 'remission')]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="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"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
        pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched
        ', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f
        :reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@va
        lue='#']))]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdat
        ed))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 243796009 |Situation with explicit context| : 246090004 |Associated finding|
         = ( ( &lt; 404684003 |Clinical finding| MINUS ( &lt;&lt; 420134006 |Propensity
         to adverse reactions| OR &lt;&lt; 473010000 |Hypersensitivity condition| OR &lt;&lt;
         79899007 |Drug interaction| OR &lt;&lt; 69449002 |Drug action| OR &lt;&lt; 441742003
         |Evaluation finding| OR &lt;&lt; 307824009 |Administrative status| OR &lt;&lt;
         385356007 |Tumor stage finding|)) OR &lt; 272379006 |Event|)"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PPR message"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value&lt;Diagnosis]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.general"/> 
      </mapping> 
    </element> 
    <element id="Condition.id">
      <path value="Condition.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Condition.meta">
      <path value="Condition.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Condition.implicitRules">
      <path value="Condition.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Condition.language">
      <path value="Condition.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="Condition.text">
      <path value="Condition.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Condition.contained">
      <path value="Condition.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Condition.extension">
      <path value="Condition.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Condition.modifierExtension">
      <path value="Condition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Condition.identifier">
      <path value="Condition.identifier"/> 
      <short value="External Ids for this condition"/> 
      <definition value="Business identifiers assigned to this condition by the performer or other systems
       which remain constant as the resource is updated and propagates from server to
       server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden
      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the condition as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Condition.clinicalStatus">
      <path value="Condition.clinicalStatus"/> 
      <short value="active | recurrence | relapse | inactive | remission | resolved | unknown"/> 
      <definition value="The clinical status of the condition."/> 
      <comment value="The data type is CodeableConcept because clinicalStatus has some clinical judgment
       involved, such that there might need to be more specificity than the required FHIR
       value set allows. For example, a SNOMED coding might allow for additional specificity.
        clinicalStatus is required since it is a modifier element.  For conditions that
       are problems list items, the clinicalStatus should not be unknown.  For conditions
       that are not problem list items, the clinicalStatus may be unknown.  For example,
       conditions derived from a claim are point in time, so those conditions may have
       a clinicalStatus of unknown"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.clinicalStatus"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-2"/> 
      <condition value="con-3"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the status contains codes that mark
       the condition as no longer active."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionClinicalStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The clinical status of the condition or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0-cibuild"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 303105007 |Disease phases|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=&quot;clinicalStatus&quot;,
         moodCode=EVN].value"/> 
      </mapping> 
    </element> 
    <element id="Condition.verificationStatus">
      <path value="Condition.verificationStatus"/> 
      <short value="unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"/> 
      <definition value="The verification status to support the clinical status of the condition.  The verification
       status pertains to the condition, itself, not to any specific condition attribute."/> 
      <comment value="verificationStatus is not required.  For example, when a patient has abdominal
       pain in the ED, there is not likely going to be a verification status.
The data type is CodeableConcept because verificationStatus has some clinical judgment
       involved, such that there might need to be more specificity than the required FHIR
       value set allows. For example, a SNOMED coding might allow for additional specificity."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.verificationStatus"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the status contains the code refuted
       and entered-in-error that mark the Condition as not currently valid."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionVerificationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The verification status to support or decline the clinical status of the condition
         or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0-cibuild"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 410514004 |Finding context value|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-13"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=&quot;verificationStatus&quot;
        , moodCode=EVN].value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="408729009"/> 
      </mapping> 
    </element> 
    <element id="Condition.category">
      <path value="Condition.category"/> 
      <short value="problem-list-item | encounter-diagnosis"/> 
      <definition value="A category assigned to the condition."/> 
      <comment value="The categorization is often highly contextual and may appear poorly differentiated
       or not very useful in other contexts."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-2"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionCategory"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A category assigned to the condition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 404684003 |Clinical finding|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Condition.severity">
      <path value="Condition.severity"/> 
      <short value="Subjective severity of condition"/> 
      <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> 
      <comment value="Coding of the severity with a terminology is preferred, where possible."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.severity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionSeverity"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 272141005 |Severities|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-26 / ABS-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[class
        Code=OBS, moodCode=EVN, code=&quot;severity&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="246112005"/> 
      </mapping> 
    </element> 
    <element id="Condition.code">
      <path value="Condition.code"/> 
      <short value="Identification of the condition, problem or diagnosis"/> 
      <definition value="Identification of the condition, problem or diagnosis."/> 
      <requirements value="0..1 to account for primarily narrative only resources."/> 
      <alias value="type"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identification of the condition or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="(&lt; 404684003 |Clinical finding| MINUS (
&lt;&lt; 420134006 |Propensity to adverse reactions| OR 
&lt;&lt; 473010000 |Hypersensitivity condition| OR 
&lt;&lt; 79899007 |Drug interaction| OR
&lt;&lt; 69449002 |Drug action| OR 
&lt;&lt; 441742003 |Evaluation finding| OR 
&lt;&lt; 307824009 |Administrative status| OR 
&lt;&lt; 385356007 |Tumor stage finding|)) 
OR &lt; 413350009 |Finding with explicit context|
OR &lt; 272379006 |Event|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="246090004"/> 
      </mapping> 
    </element> 
    <element id="Condition.bodySite">
      <path value="Condition.bodySite"/> 
      <short value="Anatomical location, if relevant"/> 
      <definition value="The anatomical location where this condition manifests itself."/> 
      <comment value="Only used if not implicit in code found in Condition.code. If the use case requires
       attributes from the BodyStructure resource (e.g. to identify and track separately)
       then use the standard extension [bodyStructure](extension-bodysite.html).  May
       be a summary code, or a reference to a very precise definition of the location,
       or both."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.bodySite"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="SNOMED CT Body site concepts"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 442083009  |Anatomical or acquired body structure|"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".targetBodySiteCode"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363698007"/> 
      </mapping> 
    </element> 
    <element id="Condition.subject">
      <path value="Condition.subject"/> 
      <short value="Who has the condition?"/> 
      <definition value="Indicates the patient or group who the condition record is associated with."/> 
      <requirements value="Group is typically used for veterinary or public health use cases."/> 
      <alias value="patient"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.subject"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Condition.encounter">
      <path value="Condition.encounter"/> 
      <short value="The Encounter during which this Condition was created"/> 
      <definition value="The Encounter during which this Condition was created or to which the creation
       of this record is tightly associated."/> 
      <comment value="This will typically be the encounter the event occurred within, but some activities
       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter. This record indicates the encounter
       this particular record is associated with.  In the case of a &quot;new&quot; diagnosis
       reflecting ongoing/revised information about the condition, this might be distinct
       from the first encounter in which the underlying condition was first &quot;known&quot;."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19 (+PV1-54)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]"/> 
      <short value="Estimated or actual date,  date-time, or age"/> 
      <definition value="Estimated or actual date or date-time  the condition began, in the opinion of the
       clinician."/> 
      <comment value="Age is generally used when the patient reports an age at which the Condition began
       to occur.  Period is generally used to convey an imprecise onset that occurred
       within the time period.  For example, Period is not intended to convey the transition
       period before the chronic bronchitis or COPD condition was diagnosed, but Period
       can be used to convey an imprecise diagnosis date.
Because a Condition.code can represent multiple levels of granularity and can be
       modified over time, the onset and abatement dates can have ambiguity whether those
       dates apply to the current Condition.code or an earlier representation of that
       Condition.code.   For example, if the Condition.code was initially documented as
       severe asthma, then it is ambiguous whether the onset and abatement dates apply
       to asthma (overall in that subject's lifetime) or when asthma transitioned to become
       severe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.onset[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-16"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
         moodCode=EVN, code=&quot;age at onset&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="Condition.abatement[x]">
      <path value="Condition.abatement[x]"/> 
      <short value="When in resolution/remission"/> 
      <definition value="The date or estimated date that the condition resolved or went into remission.
       This is called &quot;abatement&quot; because of the many overloaded connotations
       associated with &quot;remission&quot; or &quot;resolution&quot; - Some conditions,
       such as chronic conditions, are never really resolved, but they can abate."/> 
      <comment value="There is no explicit distinction between resolution and remission because in many
       cases the distinction is not clear. Age is generally used when the patient reports
       an age at which the Condition abated.  If there is no abatement element, it is
       unknown whether the condition has resolved or entered remission; applications and
       users should generally assume that the condition is still valid.  When abatementString
       exists, it implies the condition is abated.
Because a Condition.code can represent multiple levels of granularity and can be
       modified over time, the onset and abatement dates can have ambiguity whether those
       dates apply to the current Condition.code or an earlier representation of that
       Condition.code.   For example, if the Condition.code was initially documented as
       severe asthma, then it is ambiguous whether the onset and abatement dates apply
       to asthma (overall in that subject's lifetime) or when asthma transitioned to become
       severe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.abatement[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="con-3"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
         moodCode=EVN, code=&quot;age at remission&quot;].value or .inboundRelationship[typeCode=SUBJ]
        source[classCode=CONC, moodCode=EVN].status=completed"/> 
      </mapping> 
    </element> 
    <element id="Condition.recordedDate">
      <path value="Condition.recordedDate"/> 
      <short value="Date condition was first recorded"/> 
      <definition value="The recordedDate represents when this particular Condition record was created in
       the system, which is often a system-generated date."/> 
      <comment value="When onset date is unknown, recordedDate can be used to establish if the condition
       was present on or before a given date.  If the recordedDate is known and provided
       by a sending system, it is preferred that the receiving system preserve that recordedDate
       value. If the recordedDate is not provided by the sending system, the receipt timestamp
       is sometimes used as the recordedDate."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.recordedDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="REL-11"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].time"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant">
      <path value="Condition.participant"/> 
      <short value="Who or what participated in the activities related to the condition and how they
       were involved"/> 
      <definition value="Indicates who or what participated in the activities related to the condition and
       how they were involved."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.participant"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF]"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.id">
      <path value="Condition.participant.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.extension">
      <path value="Condition.participant.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.modifierExtension">
      <path value="Condition.participant.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.function">
      <path value="Condition.participant.function"/> 
      <short value="Type of involvement"/> 
      <definition value="Distinguishes the type of involvement of the actor in the activities related to
       the condition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.participant.function"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionParticipantFunction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation.functionCode"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.actor">
      <path value="Condition.participant.actor"/> 
      <short value="Who or what participated in the activities related to the condition"/> 
      <definition value="Indicates who or what participated in the activities related to the condition."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.participant.actor"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="Condition.stage"/> 
      <short value="Stage/grade, usually assessed formally"/> 
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot; or &quot;Early Onset&quot;.
       The determination of the stage is disease-specific, such as cancer, retinopathy
       of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.stage"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="con-1"/> 
        <severity value="error"/> 
        <human value="Stage SHALL have summary or assessment"/> 
        <expression value="summary.exists() or assessment.exists()"/> 
        <xpath value="exists(f:summary) or exists(f:assessment)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;stage/gra
        de&quot;]"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.id">
      <path value="Condition.stage.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.extension">
      <path value="Condition.stage.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.modifierExtension">
      <path value="Condition.stage.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.summary">
      <path value="Condition.stage.summary"/> 
      <short value="Simple summary (disease specific)"/> 
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot; or &quot;Early Onset&quot;.
       The determination of the stage is disease-specific, such as cancer, retinopathy
       of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.stage.summary"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionStage"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing condition stages (e.g. Cancer stages)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 254291000 |Staging and scales|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment"/> 
      <short value="Formal record of assessment"/> 
      <definition value="Reference to a formal record of the evidence on which the staging assessment is
       based."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.stage.assessment"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <condition value="con-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".self"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.type">
      <path value="Condition.stage.type"/> 
      <short value="Kind of staging"/> 
      <definition value="The kind of staging, such as pathological or clinical staging."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Condition.stage.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionStageType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing the kind of condition staging (e.g. clinical or pathological)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage-type"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;stage
         type&quot;]"/> 
      </mapping> 
    </element> 
    <element id="Condition.evidence">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="Condition.evidence"/> 
      <short value="Supporting evidence for the verification status"/> 
      <definition value="Supporting evidence / manifestations that are the basis of the Condition's verification
       status, such as evidence that confirmed or refuted the condition."/> 
      <comment value="If the condition was confirmed, but subsequently refuted, then the evidence can
       be cumulative including all evidence over time.  The evidence may be a simple list
       of coded symptoms/manifestations, or references to observations or formal assessments,
       or both.  For example, if the Condition.code is pneumonia, then there could be
       an evidence list where Condition.evidence.concept = fever (CodeableConcept), Condition.eviden
      ce.concept = cough (CodeableConcept), and Condition.evidence.reference = bronchitis
       (reference to Condition). "/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.evidence"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ManifestationOrSymptom"/> 
        </extension> 
        <strength value="example"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Condition.note">
      <path value="Condition.note"/> 
      <short value="Additional information about the Condition"/> 
      <definition value="Additional information about the Condition. This is a general notes/comments entry
        for description of the Condition, its diagnosis and prognosis."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Condition.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="NTE child of PRB"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation
        &quot;].value"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Condition">
      <path value="Condition"/> 
      <short value="Detailed information about conditions, problems or diagnoses"/> 
      <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
       clinical concept that has risen to a level of concern."/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="con-2"/> 
        <severity value="warning"/> 
        <human value="If category is problems list item, the clinicalStatus should not be unknown"/> 
        <expression value="category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category'
         and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://ter
        minology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()"/> 
        <xpath value="not(exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/conditi
        on-category' and f:code/@value='problem-list-item'])) or not(exists(f:clinicalStatus/f:coding[
        f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value='
        unknown']))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <constraint> 
        <key value="con-3"/> 
        <severity value="error"/> 
        <human value="If condition is abated, then clinicalStatus must be either inactive, resolved,
         or remission."/> 
        <expression value="abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/Co
        deSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exi
        sts())"/> 
        <xpath value="not(exists(f:*[starts-with(local-name(.), 'abatement')])) or (not(exists(f:clinicalStatus))
         or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/co
        ndition-clinical' and f:code/@value=('inactive', 'resolved', 'remission')]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 243796009 |Situation with explicit context| : 246090004 |Associated finding|
         = ( ( &lt; 404684003 |Clinical finding| MINUS ( &lt;&lt; 420134006 |Propensity
         to adverse reactions| OR &lt;&lt; 473010000 |Hypersensitivity condition| OR &lt;&lt;
         79899007 |Drug interaction| OR &lt;&lt; 69449002 |Drug action| OR &lt;&lt; 441742003
         |Evaluation finding| OR &lt;&lt; 307824009 |Administrative status| OR &lt;&lt;
         385356007 |Tumor stage finding|)) OR &lt; 272379006 |Event|)"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PPR message"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value&lt;Diagnosis]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.general"/> 
      </mapping> 
    </element> 
    <element id="Condition.identifier">
      <path value="Condition.identifier"/> 
      <short value="External Ids for this condition"/> 
      <definition value="Business identifiers assigned to this condition by the performer or other systems
       which remain constant as the resource is updated and propagates from server to
       server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden
      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the condition as it is known by various participating
       systems and in a way that remains consistent across servers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Condition.clinicalStatus">
      <path value="Condition.clinicalStatus"/> 
      <short value="active | recurrence | relapse | inactive | remission | resolved | unknown"/> 
      <definition value="The clinical status of the condition."/> 
      <comment value="The data type is CodeableConcept because clinicalStatus has some clinical judgment
       involved, such that there might need to be more specificity than the required FHIR
       value set allows. For example, a SNOMED coding might allow for additional specificity.
        clinicalStatus is required since it is a modifier element.  For conditions that
       are problems list items, the clinicalStatus should not be unknown.  For conditions
       that are not problem list items, the clinicalStatus may be unknown.  For example,
       conditions derived from a claim are point in time, so those conditions may have
       a clinicalStatus of unknown"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-2"/> 
      <condition value="con-3"/> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the status contains codes that mark
       the condition as no longer active."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionClinicalStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The clinical status of the condition or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0-cibuild"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 303105007 |Disease phases|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=&quot;clinicalStatus&quot;,
         moodCode=EVN].value"/> 
      </mapping> 
    </element> 
    <element id="Condition.verificationStatus">
      <path value="Condition.verificationStatus"/> 
      <short value="unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"/> 
      <definition value="The verification status to support the clinical status of the condition.  The verification
       status pertains to the condition, itself, not to any specific condition attribute."/> 
      <comment value="verificationStatus is not required.  For example, when a patient has abdominal
       pain in the ED, there is not likely going to be a verification status.
The data type is CodeableConcept because verificationStatus has some clinical judgment
       involved, such that there might need to be more specificity than the required FHIR
       value set allows. For example, a SNOMED coding might allow for additional specificity."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the status contains the code refuted
       and entered-in-error that mark the Condition as not currently valid."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionVerificationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The verification status to support or decline the clinical status of the condition
         or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0-cibuild"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 410514004 |Finding context value|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-13"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=&quot;verificationStatus&quot;
        , moodCode=EVN].value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="408729009"/> 
      </mapping> 
    </element> 
    <element id="Condition.category">
      <path value="Condition.category"/> 
      <short value="problem-list-item | encounter-diagnosis"/> 
      <definition value="A category assigned to the condition."/> 
      <comment value="The categorization is often highly contextual and may appear poorly differentiated
       or not very useful in other contexts."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-2"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionCategory"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A category assigned to the condition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 404684003 |Clinical finding|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Condition.severity">
      <path value="Condition.severity"/> 
      <short value="Subjective severity of condition"/> 
      <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> 
      <comment value="Coding of the severity with a terminology is preferred, where possible."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionSeverity"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 272141005 |Severities|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-26 / ABS-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[class
        Code=OBS, moodCode=EVN, code=&quot;severity&quot;].value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="246112005"/> 
      </mapping> 
    </element> 
    <element id="Condition.code">
      <path value="Condition.code"/> 
      <short value="Identification of the condition, problem or diagnosis"/> 
      <definition value="Identification of the condition, problem or diagnosis."/> 
      <requirements value="0..1 to account for primarily narrative only resources."/> 
      <alias value="type"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identification of the condition or diagnosis."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="(&lt; 404684003 |Clinical finding| MINUS (
&lt;&lt; 420134006 |Propensity to adverse reactions| OR 
&lt;&lt; 473010000 |Hypersensitivity condition| OR 
&lt;&lt; 79899007 |Drug interaction| OR
&lt;&lt; 69449002 |Drug action| OR 
&lt;&lt; 441742003 |Evaluation finding| OR 
&lt;&lt; 307824009 |Administrative status| OR 
&lt;&lt; 385356007 |Tumor stage finding|)) 
OR &lt; 413350009 |Finding with explicit context|
OR &lt; 272379006 |Event|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="246090004"/> 
      </mapping> 
    </element> 
    <element id="Condition.bodySite">
      <path value="Condition.bodySite"/> 
      <short value="Anatomical location, if relevant"/> 
      <definition value="The anatomical location where this condition manifests itself."/> 
      <comment value="Only used if not implicit in code found in Condition.code. If the use case requires
       attributes from the BodyStructure resource (e.g. to identify and track separately)
       then use the standard extension [bodyStructure](extension-bodysite.html).  May
       be a summary code, or a reference to a very precise definition of the location,
       or both."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="SNOMED CT Body site concepts"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 442083009  |Anatomical or acquired body structure|"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".targetBodySiteCode"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363698007"/> 
      </mapping> 
    </element> 
    <element id="Condition.subject">
      <path value="Condition.subject"/> 
      <short value="Who has the condition?"/> 
      <definition value="Indicates the patient or group who the condition record is associated with."/> 
      <requirements value="Group is typically used for veterinary or public health use cases."/> 
      <alias value="patient"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Condition.encounter">
      <path value="Condition.encounter"/> 
      <short value="The Encounter during which this Condition was created"/> 
      <definition value="The Encounter during which this Condition was created or to which the creation
       of this record is tightly associated."/> 
      <comment value="This will typically be the encounter the event occurred within, but some activities
       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter. This record indicates the encounter
       this particular record is associated with.  In the case of a &quot;new&quot; diagnosis
       reflecting ongoing/revised information about the condition, this might be distinct
       from the first encounter in which the underlying condition was first &quot;known&quot;."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19 (+PV1-54)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]"/> 
      <short value="Estimated or actual date,  date-time, or age"/> 
      <definition value="Estimated or actual date or date-time  the condition began, in the opinion of the
       clinician."/> 
      <comment value="Age is generally used when the patient reports an age at which the Condition began
       to occur.  Period is generally used to convey an imprecise onset that occurred
       within the time period.  For example, Period is not intended to convey the transition
       period before the chronic bronchitis or COPD condition was diagnosed, but Period
       can be used to convey an imprecise diagnosis date.
Because a Condition.code can represent multiple levels of granularity and can be
       modified over time, the onset and abatement dates can have ambiguity whether those
       dates apply to the current Condition.code or an earlier representation of that
       Condition.code.   For example, if the Condition.code was initially documented as
       severe asthma, then it is ambiguous whether the onset and abatement dates apply
       to asthma (overall in that subject's lifetime) or when asthma transitioned to become
       severe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.init"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-16"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
         moodCode=EVN, code=&quot;age at onset&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="Condition.abatement[x]">
      <path value="Condition.abatement[x]"/> 
      <short value="When in resolution/remission"/> 
      <definition value="The date or estimated date that the condition resolved or went into remission.
       This is called &quot;abatement&quot; because of the many overloaded connotations
       associated with &quot;remission&quot; or &quot;resolution&quot; - Some conditions,
       such as chronic conditions, are never really resolved, but they can abate."/> 
      <comment value="There is no explicit distinction between resolution and remission because in many
       cases the distinction is not clear. Age is generally used when the patient reports
       an age at which the Condition abated.  If there is no abatement element, it is
       unknown whether the condition has resolved or entered remission; applications and
       users should generally assume that the condition is still valid.  When abatementString
       exists, it implies the condition is abated.
Because a Condition.code can represent multiple levels of granularity and can be
       modified over time, the onset and abatement dates can have ambiguity whether those
       dates apply to the current Condition.code or an earlier representation of that
       Condition.code.   For example, if the Condition.code was initially documented as
       severe asthma, then it is ambiguous whether the onset and abatement dates apply
       to asthma (overall in that subject's lifetime) or when asthma transitioned to become
       severe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Age"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="con-3"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
         moodCode=EVN, code=&quot;age at remission&quot;].value or .inboundRelationship[typeCode=SUBJ]
        source[classCode=CONC, moodCode=EVN].status=completed"/> 
      </mapping> 
    </element> 
    <element id="Condition.recordedDate">
      <path value="Condition.recordedDate"/> 
      <short value="Date condition was first recorded"/> 
      <definition value="The recordedDate represents when this particular Condition record was created in
       the system, which is often a system-generated date."/> 
      <comment value="When onset date is unknown, recordedDate can be used to establish if the condition
       was present on or before a given date.  If the recordedDate is known and provided
       by a sending system, it is preferred that the receiving system preserve that recordedDate
       value. If the recordedDate is not provided by the sending system, the receipt timestamp
       is sometimes used as the recordedDate."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="REL-11"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].time"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant">
      <path value="Condition.participant"/> 
      <short value="Who or what participated in the activities related to the condition and how they
       were involved"/> 
      <definition value="Indicates who or what participated in the activities related to the condition and
       how they were involved."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF]"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.function">
      <path value="Condition.participant.function"/> 
      <short value="Type of involvement"/> 
      <definition value="Distinguishes the type of involvement of the actor in the activities related to
       the condition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionParticipantFunction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation.functionCode"/> 
      </mapping> 
    </element> 
    <element id="Condition.participant.actor">
      <path value="Condition.participant.actor"/> 
      <short value="Who or what participated in the activities related to the condition"/> 
      <definition value="Indicates who or what participated in the activities related to the condition."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="Condition.stage"/> 
      <short value="Stage/grade, usually assessed formally"/> 
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot; or &quot;Early Onset&quot;.
       The determination of the stage is disease-specific, such as cancer, retinopathy
       of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="con-1"/> 
        <severity value="error"/> 
        <human value="Stage SHALL have summary or assessment"/> 
        <expression value="summary.exists() or assessment.exists()"/> 
        <xpath value="exists(f:summary) or exists(f:assessment)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;stage/gra
        de&quot;]"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.summary">
      <path value="Condition.stage.summary"/> 
      <short value="Simple summary (disease specific)"/> 
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot; or &quot;Early Onset&quot;.
       The determination of the stage is disease-specific, such as cancer, retinopathy
       of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="con-1"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionStage"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing condition stages (e.g. Cancer stages)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 254291000 |Staging and scales|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRB-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment"/> 
      <short value="Formal record of assessment"/> 
      <definition value="Reference to a formal record of the evidence on which the staging assessment is
       based."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <condition value="con-1"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".self"/> 
      </mapping> 
    </element> 
    <element id="Condition.stage.type">
      <path value="Condition.stage.type"/> 
      <short value="Kind of staging"/> 
      <definition value="The kind of staging, such as pathological or clinical staging."/>