International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

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

Resource Profile: Condition (IPS)

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

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

Representation of a problem in the international patient summary

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

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

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject S 1..1 Reference(Patient (IPS)) Who has the condition?
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] S 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string

doco Documentation for this format

Terminology Bindings (Differential)

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

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPS candidate
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (IPS)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

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

... category S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPS candidate
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (IPS)) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

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

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


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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Condition

Differential View

This structure is derived from Condition

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

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject S 1..1 Reference(Patient (IPS)) Who has the condition?
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] S 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string

doco Documentation for this format

Terminology Bindings (Differential)

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

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... category S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPS candidate
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (IPS)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

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

... category S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problem Type - IPS (preferred)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
Additional BindingsPurpose
Problem Severity - IPS candidate
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem

Additional BindingsPurpose
Problems - SNOMED CT IPS Free Set candidate
Absent or Unknown Problems - IPS candidate
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (IPS)) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

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

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


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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categorypreferredProblemTypeUvIps
Additional Bindings Purpose Documentation
Problem Type (LOINC) candidate

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

http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
Additional Bindings Purpose Documentation
Problem Severity - IPS candidate

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

http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredProblemsSnomedAbsentUnknownUvIps
Additional Bindings Purpose Documentation
Problems - SNOMED CT IPS Free Set candidate

Codes for a clinical problem in SNOMED IPS Free Set

Absent or Unknown Problems - IPS candidate

Codes for absent or unknown problems

http://hl7.org/fhir/uv/ips/ValueSet/problems-snomed-absent-unknown-uv-ips
from this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4errorConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5errorConditionCondition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
: verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 2 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron