Australian Digital Health Agency FHIR Implementation Guide

This profile identifies the additional constraints, extensions, and value sets that build on and extend Condition that are supported.

This profile is designed to set a core Condition standard for:

• Query for a patient's conditions
• Record or update a condition belonging to a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

• Condition.category provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.
• An active condition is represented using "active" in Condition.clinicalStatus.
• To represent that a patient does not have a condition or history of condition, an appropriate negation code is used in Condition.code.
• Refutation is not expected to be handled except as above - an appropriate negation code in Condition.code and Condition.verificationStatus of "confirmed" or "unconfirmed".

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

This structure is derived from AUBaseCondition

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
clinicalStatus	SC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
bodySite	SC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SC	1..1	Reference(ADHA Core Patient)	Who has the condition? inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(ADHA Core Encounter)	Encounter created as part of
onset[x]	S	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recorder	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who has the condition? ele-1: All FHIR elements must have a @value or children inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter created as part of ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recorder	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Additional information about the Condition ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
bodySite	SΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who has the condition? inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Clinical Finding (preferred)
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Differential View

This structure is derived from AUBaseCondition

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
clinicalStatus	SC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
bodySite	SC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SC	1..1	Reference(ADHA Core Patient)	Who has the condition? inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	S	0..1	Reference(ADHA Core Encounter)	Encounter created as part of
onset[x]	S	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recorder	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who has the condition? ele-1: All FHIR elements must have a @value or children inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter created as part of ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recorder	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Additional information about the Condition ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	AUBaseCondition	A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-05: Clinical status shall be present if verification status is not entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
bodySite	SΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) inv-dh-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who has the condition? inv-dh-cond-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	SΣC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson)	Who recorded the condition inv-dh-cond-04: At least reference or display or a valid identifier shall be present
asserter	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Clinical Finding (preferred)
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cond-01	error	Condition	If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-cond-02	error	Condition.bodySite	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-cond-03	error	Condition.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-04	error	Condition.recorder	At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cond-05	error	Condition	Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists()

This structure is derived from AUBaseCondition

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Core Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-core-1)
• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
• ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
• ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

Mandatory Search Parameters

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

1. SHALL support searching for all conditions for a patient using the subject:identifier search parameter:

   GET [base]/Condition?subject:identifier={system|}[code]

   Example:

    GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
   

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

2. SHALL support searching using the combination subject:identifier and category search parameter:

   GET [base]/Condition?subject:identifier={system|}[code]&category={system|}[code]

   Example:

    GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item
   

   Implementation Notes: Fetches a bundle of all Condition resources with the category of "Problem List Item" for the specified patient (how to search by :identifier)

3. SHALL support searching using the combination subject:identifier and code search parameter:

   GET [base]/Condition?subject:identifier={system|}[code]&code={system|}[code]

   Example:

    GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&code=http://snomed.info/sct|68566005
   

   Implementation Notes: Fetches a bundle of all Condition resources with the code of an 68566005 (Urinary tract infection) for the specified patient (how to search by :identifier and how to search by token)

4. SHALL support searching using the combination subject:identifier and clinical-status search parameter:

   GET [base]/Condition?subject:identifier={system|}[code]&clinical-status={system|}[code]

   Example:

    GET [base]/Condition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&clinical-status=http://terminology.hl7.org/CodeSystem/condition-clinical|active
   

   Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and status code. This will not return any "entered in error" resources because of the conditional presence of the clinicalStatus element. (how to search by :identifier and how to search by token)