Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
implicitRules		0..0
modifierExtension		0..0
verificationStatus		0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category		2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code		1..1	CodeableConcept	Lack of physical exercise Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
bodySite		0..0
onset[x]	S	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime S
onsetPeriod			Period
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime S
abatementPeriod			Period
asserter	S	0..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core PractitionerRole Profile S)	Person who asserts this condition
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
modifierExtension		0..0
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses 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 us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible)
category:PA	SC	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Binding: US Core Condition Category Codes (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code	SΣ	1..1	CodeableConcept	Lack of physical exercise Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
asserter	SΣ	0..1	ReferenceRestOrLogical(US Core Practitioner Profile | US Core PractitionerRole Profile)	Person who asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day | PA Observation - EVS, Days/Week)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.code	extensible	Pattern: Z72.3("Lack of physical exercise") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses 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 us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible)
category:PA	SC	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Binding: US Core Condition Category Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Lack of physical exercise Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
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
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime S
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core PractitionerRole Profile S)	Person who asserts this condition
evidence	SC	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
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	Pattern: Z72.3("Lack of physical exercise") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

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

Summary

Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• Reference - RESTful or Logical (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Observation - EVS, Minutes/Day (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-day)
• PA Observation - EVS, Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-days-per-week)
• PA Observation - EVS, Minutes/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-week)
• PA Observation - EVS, Strength Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-strength-days-per-week)

Slices

This structure defines the following Slices:

• The element Condition.category is sliced based on the value of pattern:$this
• The element Condition.evidence.detail is sliced based on the value of profile:resolve()

Maturity: 2

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
implicitRules		0..0
modifierExtension		0..0
verificationStatus		0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category		2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code		1..1	CodeableConcept	Lack of physical exercise Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
bodySite		0..0
onset[x]	S	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime S
onsetPeriod			Period
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime S
abatementPeriod			Period
asserter	S	0..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core PractitionerRole Profile S)	Person who asserts this condition
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
modifierExtension		0..0
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses 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 us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible)
category:PA	SC	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Binding: US Core Condition Category Codes (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
code	SΣ	1..1	CodeableConcept	Lack of physical exercise Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
asserter	SΣ	0..1	ReferenceRestOrLogical(US Core Practitioner Profile | US Core PractitionerRole Profile)	Person who asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day | PA Observation - EVS, Days/Week)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.code	extensible	Pattern: Z72.3("Lack of physical exercise") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses 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 us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible)
category:PA	SC	1..1	CodeableConcept	Additional category indicating the condition is related to physical activity Binding: US Core Condition Category Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Lack of physical exercise Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Z72.3
display		1..1	string	Representation defined by the system Fixed Value: Lack of physical exercise
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
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
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime S
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core PractitionerRole Profile S)	Person who asserts this condition
evidence	SC	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
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	ReferenceRest(PA Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	PAConditionVerificationStatus http://hl7.org/fhir/us/physical-activity/ValueSet/pa-condition-verification-status from this IG
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:PA	extensible	Pattern: PhysicalActivity http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	Pattern: Z72.3("Lack of physical exercise") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

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

Summary

Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• Reference - RESTful or Logical (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Observation - EVS, Minutes/Day (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-day)
• PA Observation - EVS, Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-days-per-week)
• PA Observation - EVS, Minutes/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-week)
• PA Observation - EVS, Strength Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-strength-days-per-week)

Slices

This structure defines the following Slices:

• The element Condition.category is sliced based on the value of pattern:$this
• The element Condition.evidence.detail is sliced based on the value of profile:resolve()

Maturity: 2