US Public Health Profiles Library
​2.0.0 - United States of America flag

US Public Health Profiles Library, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ph-library/ and changes regularly. See the Directory of published versions

Resource Profile: US Public Health Condition Problems and Health Concerns

Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-condition-problems-health-concerns Version: 2.0.0
Standards status: Trial-use Active as of 2025-10-23 Maturity Level: 3 Computable Name: USPublicHealthConditionProblemsHealthConcerns
Other Identifiers: OID:2.16.840.1.113883.4.642.40.58.42.11

This Condition profile represents a sign, symptom, or diagnosis for a problem or health concern related to a public health event.

It is based on the US Core Condition Problems and Health Concerns Profile with further constraints:

  • US Public Health Patient as the Condition.subject
  • verificationStatus guidance: in the case of a condition being mistakenly entered into the system and later corrected, set to 'entered-in-error'

Notes:

  • A suspected diagnosis is identified by the code used, e.g. 772152006 Measles suspected SNOMED CT
  • See http://hl7.org/fhir/us/core/STU6.1StructureDefinition-us-core-condition-problems-health-concerns.html#mandatory-and-must-support-data-elements for details about Date of Diagnosis

Represented USCDI+ Data Elements

Use Case Data Class Data Element Name
Case Reporting Problems Date of Diagnosis
Case Reporting Problems Date of Onset
Case Reporting Problems Date of Resolution
Case Reporting Problems Suspected Diagnosis

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:assertedDate S 0..1 dateTime (USCDI+) Date of Diagnosis
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... onset[x] SΣ 0..1 (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI+) Date of Resolution
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI+) Date of Diagnosis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
... Slices for extension Content/Rules for all slices
.... extension:assertedDate 0..1 ConditionAssertedDate(5.2.0) (USCDI+) Date of Diagnosis
... verificationStatus 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
... code 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
... onset[x] 0..1 dateTime, Age, Period, Range, string (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
... abatement[x] 0..1 dateTime, Age, Period, Range, string (USCDI+) Date of Resolution
... recordedDate 0..1 dateTime (USCDI+) Date of Diagnosis

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
Constraints: con-3, con-4, con-5
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI+) Date of Diagnosis
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI+) Date of Resolution
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI+) Date of Diagnosis
... 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
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:assertedDate S 0..1 dateTime (USCDI+) Date of Diagnosis
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... onset[x] SΣ 0..1 (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI+) Date of Resolution
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI+) Date of Diagnosis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1

Constraints

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

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
... Slices for extension Content/Rules for all slices
.... extension:assertedDate 0..1 ConditionAssertedDate(5.2.0) (USCDI+) Date of Diagnosis
... verificationStatus 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
... code 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
... onset[x] 0..1 dateTime, Age, Period, Range, string (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
... abatement[x] 0..1 dateTime, Age, Period, Range, string (USCDI+) Date of Resolution
... recordedDate 0..1 dateTime (USCDI+) Date of Diagnosis

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile(6.1.0) US Public Health Condition Problems Health Concerns
Constraints: con-3, con-4, con-5
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI+) Date of Diagnosis
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept If a condition is mistakenly entered into the system and later corrected verificationStatus of 'entered-in-error' must be set
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI+) Suspected Diagnosis
Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... onset[x] SΣ 0..1 (USCDI+) Date of Onset, (USCDI+) Date of Diagnosis
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI+) Date of Resolution
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime (USCDI+) Date of Diagnosis
... 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
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible US Core Condition Codes 📍6.1.0 US Core v6.1
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.modifierExtension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron