Imaging Diagnostic Report
0.0.1-current - ci-build International flag

Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions

Resource Profile: IDR Report Impression Condition

Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-impression-condition Version: 0.0.1-current
Draft as of 2026-01-24 Computable Name: IDRImpressionCondition

A condition appearing in the impression of an imaging report.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3, con-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 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
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣ 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category SC 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Anatomical body structure
... subject Σ 1..1 Reference(Patient | Group) Who has the condition?
... asserter SΣ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evidence SΣ 0..* CodeableReference(Resource) Supporting evidence for the condition
Binding: SNOMEDCTClinicalFindings (example)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍6.0.0-ballot3 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍6.0.0-ballot3 FHIR Std.
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍6.0.0-ballot3 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍6.0.0-ballot3 FHIR Std.
Condition.bodySite Base example SNOMED CT Body Structures 📍6.0.0-ballot3 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍6.0.0-ballot3 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 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
con-4 error Condition bodyStructure SHALL only be present if Condition.bodySite is not present bodySite.exists() implies bodyStructure.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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... clinicalStatus 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
... verificationStatus S 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
... bodySite 0..* CodeableConcept Anatomical location, if relevant
... bodyStructure S 0..1 Reference(BodyStructure) Anatomical body structure
... asserter S 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage S 0..* BackboneElement Stage/grade, usually assessed formally
... evidence S 0..* CodeableReference(Resource) Supporting evidence for the condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3, con-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text S 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
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣ 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category SC 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Anatomical body structure
... subject Σ 1..1 Reference(Patient | Group) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Condition was created
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... 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 condition was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage SC 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
.... 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(ClinicalAssessment | 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 SΣ 0..* CodeableReference(Resource) Supporting evidence for the condition
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍6.0.0-ballot3 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍6.0.0-ballot3 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍6.0.0-ballot3 FHIR Std.
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍6.0.0-ballot3 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍6.0.0-ballot3 FHIR Std.
Condition.bodySite Base example SNOMED CT Body Structures 📍6.0.0-ballot3 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍6.0.0-ballot3 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍6.0.0-ballot3 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍6.0.0-ballot3 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 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
con-4 error Condition bodyStructure SHALL only be present if Condition.bodySite is not present bodySite.exists() implies bodyStructure.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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()

This structure is derived from Condition

Summary

Mandatory: 4 elements
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3, con-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 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
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣ 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category SC 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Anatomical body structure
... subject Σ 1..1 Reference(Patient | Group) Who has the condition?
... asserter SΣ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... evidence SΣ 0..* CodeableReference(Resource) Supporting evidence for the condition
Binding: SNOMEDCTClinicalFindings (example)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍6.0.0-ballot3 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍6.0.0-ballot3 FHIR Std.
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍6.0.0-ballot3 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍6.0.0-ballot3 FHIR Std.
Condition.bodySite Base example SNOMED CT Body Structures 📍6.0.0-ballot3 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍6.0.0-ballot3 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 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
con-4 error Condition bodyStructure SHALL only be present if Condition.bodySite is not present bodySite.exists() implies bodyStructure.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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... clinicalStatus 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
... verificationStatus S 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
... bodySite 0..* CodeableConcept Anatomical location, if relevant
... bodyStructure S 0..1 Reference(BodyStructure) Anatomical body structure
... asserter S 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage S 0..* BackboneElement Stage/grade, usually assessed formally
... evidence S 0..* CodeableReference(Resource) Supporting evidence for the condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3, con-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text S 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
.... extension:likelihood S 0..1 CodeableConcept IDR Impression Condition Likelihood.
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionLikelihood
.... extension:actionable S 0..1 CodeableConcept IDR Actionable Condition
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpressionActionable
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣ 1..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category SC 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: Impression Condition category ValueSet (required)
... severity S 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite ΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... bodyStructure SC 0..1 Reference(BodyStructure) Anatomical body structure
... subject Σ 1..1 Reference(Patient | Group) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Condition was created
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... 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 condition was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
... stage SC 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
.... 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(ClinicalAssessment | 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 SΣ 0..* CodeableReference(Resource) Supporting evidence for the condition
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍6.0.0-ballot3 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍6.0.0-ballot3 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍6.0.0-ballot3 FHIR Std.
Condition.category Base required Impression Condition category ValueSet 📦0.0.1-current This IG
Condition.severity Base preferred Condition/Diagnosis Severity 📍6.0.0-ballot3 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍6.0.0-ballot3 FHIR Std.
Condition.bodySite Base example SNOMED CT Body Structures 📍6.0.0-ballot3 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍6.0.0-ballot3 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍6.0.0-ballot3 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍6.0.0-ballot3 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 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
con-4 error Condition bodyStructure SHALL only be present if Condition.bodySite is not present bodySite.exists() implies bodyStructure.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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()

This structure is derived from Condition

Summary

Mandatory: 4 elements
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron