RIVO-Noord Zorgviewer Implementation Guide
1.21.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.21.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Condition - Detailed Descriptions

Active as of 2025-10-28

Definitions for the Condition resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint) or by their healthcare provider (in the form of a diagnosis, for example). This is the base resource type for everything.
Short | ProblemBase Resource
Control | 0..*
Alternate Names | Concern, Probleem
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'`) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (`verificationStatus='entered-in-error' or clinicalStatus.exists()`) zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present (`onsetDateTime.exists() or onsetPeriod.exists()`)
2. Condition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
6. Condition.clinicalStatus
Definition | The problem status describes the condition of the problem: Active problems are problems of which the patient experiences symptoms or for which evidence exists. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore.. The clinical status of the condition.
Short | ProblemStatusactive | recurrence | inactive | remission | resolved
Comments | This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.
Control | 10..1 This element is affected by the following invariants: con-3, con-4
Binding | The codes SHALL be taken from Condition Clinical Status Codes http://hl7.org/fhir/ValueSet/condition-clinical|3.0.2 (required to `http://hl7.org/fhir/ValueSet/condition-clinical` ) The clinical status of the condition or diagnosis.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | ProbleemStatus
8. Condition.clinicalStatus.extension:ProblemStatusCodelist
Slice Name | ProblemStatusCodelist
Definition | Describes the condition of the problem, use this extension to include the original HCIM code
Short | clinicalstatus
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(HCIM extension code-specification) (Extension Type: CodeableConcept)
Alternate Names | extensions, user content, Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet., Probleemstatus
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. Condition.clinicalStatus.extension:ProblemStatusCodelist.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.clinicalStatus.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. Condition.clinicalStatus.extension:ProblemStatusCodelist.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/code-specification`
14. Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
Short | Value of extension
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For codes, see ProbleemStatusCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000` ) ProbleemStatusCodelijst
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
16. Condition.verificationStatus
Definition | Clinical status of the problem or the diagnosis. The verification status to support the clinical status of the condition.
Short | VerificationStatusprovisional | differential | confirmed | refuted | entered-in-error | unknown
Comments | verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Control | 0..1 This element is affected by the following invariants: con-3
Binding | The codes SHALL be taken from ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|3.0.2 (required to `http://hl7.org/fhir/ValueSet/condition-ver-status` ) The verification status to support or decline the clinical status of the condition or diagnosis.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | VerificatieStatus
Default Value | `unknown`
18. Condition.verificationStatus.extension:VerificatieStatusCodelijst
Slice Name | VerificatieStatusCodelijst
Definition | Describes the verification status of the problem, use this extension to include the original HCIM code
Short | Verificationstatus
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(HCIM extension code-specification) (Extension Type: CodeableConcept)
Alternate Names | extensions, user content, Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet., VerificatieStatusCodelijst
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Condition.verificationStatus.extension:VerificatieStatusCodelijst.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.verificationStatus.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
22. Condition.verificationStatus.extension:VerificatieStatusCodelijst.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/code-specification`
24. Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
Short | Value of extension
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For codes, see VerificatieStatusCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000` ) VerificatieStatusCodelijst
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
26. Condition.code
Definition | The problem name defines the problem. Depending on the setting, different code systems can be used. The ProblemNameCodelist provides an overview of the possible code systems. Identification of the condition, problem or diagnosis.
Short | ProblemNameIdentification of the condition, problem or diagnosis
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see Zorgviewer probleem naam waardelijst http://hl7.org/fhir/ValueSet/condition-code|3.0.2 (extensible to `http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist` )
Type | CodeableConcept
Must Support | true
Summary | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type, ProbleemNaam
28. Condition.code.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
30. Condition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Who has the condition?
Control | 1..1
Type | Reference(nl-core-patient, Patient, Group)
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
32. Condition.onsetDateTime:onsetDateTime
Slice Name | onsetDateTime
Definition | Start of the disorder to which the problem applies. Especially in symptoms in which it takes longer for the final diagnosis, it is important to know not only the date of the diagnosis, but also how long the patient has had the disorder. A ‘vague’ date, such as only the year or the month and the year, is permitted. Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Short | ProblemStartDateEstimated or actual date, date-time, or age
Comments | Age is generally used when the patient reports an age at which the Condition began to occur.
Control | 0..1
Type | dateTime, string, Period, Range, Age
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | ProbleemBeginDatum
34. Condition.abatementDateTime:abatementDateTime
Slice Name | abatementDateTime
Definition | Date on which the disorder to which the problem applies, is considered not to be present anymore. This date does not need to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted. The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.
Short | ProblemEndDateIf/when in resolution/remission
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
Control | 0..1 This element is affected by the following invariants: con-4
Type | dateTime, boolean, string, Period, Range, Age
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Alternate Names | ProbleemEindDatum
36. Condition.note
Definition | Comment by the one who determined or updated the Problem. Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Short | CommentAdditional information about the Condition
Control | 0..*
Type | Annotation
Must Support | true
Alternate Names | Toelichting

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Invariants | zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present (`onsetDateTime.exists() or onsetPeriod.exists()`)
2. Condition.clinicalStatus
Control | 1..?
Must Support | true
4. Condition.code
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from Zorgviewer probleem naam waardelijst (extensible to `http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist` )
Must Support | true
6. Condition.code.text
Must Support | true
8. Condition.onset[x]
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
10. Condition.note
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint) or by their healthcare provider (in the form of a diagnosis, for example).
Short | Problem
Control | 0..*
Alternate Names | Concern, Probleem
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'`) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (`verificationStatus='entered-in-error' or clinicalStatus.exists()`) zv-con-1: At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present (`onsetDateTime.exists() or onsetPeriod.exists()`)
2. Condition.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. Condition.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Summary | true
6. Condition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
8. Condition.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Common Languages (extensible to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
All Languages | Max Binding
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. Condition.text
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Control | 0..1 This element is affected by the following invariants: dom-1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
12. Condition.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
14. Condition.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
16. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
18. Condition.identifier
Definition | This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
Short | External Ids for this condition
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Summary | true
Requirements | Need to allow connection to a wider workflow.
20. Condition.clinicalStatus
Definition | The problem status describes the condition of the problem: Active problems are problems of which the patient experiences symptoms or for which evidence exists. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore..
Short | ProblemStatus
Comments | This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.
Control | 1..1 This element is affected by the following invariants: con-3, con-4
Binding | The codes SHALL be taken from Condition Clinical Status Codes (required to `http://hl7.org/fhir/ValueSet/condition-clinical` ) The clinical status of the condition or diagnosis.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | ProbleemStatus
22. Condition.clinicalStatus.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
24. Condition.clinicalStatus.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.clinicalStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. Condition.clinicalStatus.extension:ProblemStatusCodelist
Slice Name | ProblemStatusCodelist
Definition | Describes the condition of the problem, use this extension to include the original HCIM code
Short | clinicalstatus
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(HCIM extension code-specification) (Extension Type: CodeableConcept)
Alternate Names | extensions, user content, Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet., Probleemstatus
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
28. Condition.clinicalStatus.extension:ProblemStatusCodelist.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
30. Condition.clinicalStatus.extension:ProblemStatusCodelist.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.clinicalStatus.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. Condition.clinicalStatus.extension:ProblemStatusCodelist.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/code-specification`
34. Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
Short | Value of extension
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from ProbleemStatusCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000` ) ProbleemStatusCodelijst
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
36. Condition.clinicalStatus.value
Definition | Primitive value for code
Short | Primitive value for code
Control | 0..1
Type | code
XML Format | In the XML format, this property is represented as an attribute.
38. Condition.verificationStatus
Definition | Clinical status of the problem or the diagnosis.
Short | VerificationStatus
Comments | verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Control | 0..1 This element is affected by the following invariants: con-3
Binding | The codes SHALL be taken from ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status` ) The verification status to support or decline the clinical status of the condition or diagnosis.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Alternate Names | VerificatieStatus
Default Value | `unknown`
40. Condition.verificationStatus.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
42. Condition.verificationStatus.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.verificationStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. Condition.verificationStatus.extension:VerificatieStatusCodelijst
Slice Name | VerificatieStatusCodelijst
Definition | Describes the verification status of the problem, use this extension to include the original HCIM code
Short | Verificationstatus
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(HCIM extension code-specification) (Extension Type: CodeableConcept)
Alternate Names | extensions, user content, Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet., VerificatieStatusCodelijst
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. Condition.verificationStatus.extension:VerificatieStatusCodelijst.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
48. Condition.verificationStatus.extension:VerificatieStatusCodelijst.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.verificationStatus.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. Condition.verificationStatus.extension:VerificatieStatusCodelijst.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/code-specification`
52. Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
Short | Value of extension
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from VerificatieStatusCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000` ) VerificatieStatusCodelijst
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
54. Condition.verificationStatus.value
Definition | Primitive value for code
Short | Primitive value for code
Control | 0..1
Type | code
XML Format | In the XML format, this property is represented as an attribute.
56. Condition.category
Definition | The type of problem; see the profile description.
Short | ProblemType
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ProbleemTypeCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000` ) The type of problem.
Type | CodeableConcept
Alternate Names | ProbleemType
58. Condition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | Subjective severity of condition
Comments | Coding of the severity with a terminology is preferred, where possible.
Control | 0..1
Binding | The codes SHOULD be taken from Condition/Diagnosis Severity (preferred to `http://hl7.org/fhir/ValueSet/condition-severity` ) A subjective assessment of the severity of the condition as evaluated by the clinician.
Type | CodeableConcept
60. Condition.code
Definition | The problem name defines the problem. Depending on the setting, different code systems can be used. The ProblemNameCodelist provides an overview of the possible code systems.
Short | ProblemName
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from Zorgviewer probleem naam waardelijst (extensible to `http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist` )
Type | CodeableConcept
Must Support | true
Summary | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type, ProbleemNaam
62. Condition.code.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
64. Condition.code.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
66. Condition.code.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
68. Condition.code.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
70. Condition.bodySite
Definition | Anatomical location which is the focus of the procedure.
Short | ProblemAnatomicalLocation
Comments | Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ProbleemAnatomischeLocatieCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000` ) ProbleemAnatomischeLocatieCodelijst
Type | CodeableConcept
Summary | true
Alternate Names | ProbleemAnatomischeLocatie
72. Condition.bodySite.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
74. Condition.bodySite.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.bodySite.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
76. Condition.bodySite.extension:Laterality
Slice Name | Laterality
Definition | Laterality adds information about body side to the anatomic location, e.g. left
Short | ProblemLaterality
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(BodySite Qualifier) (Extension Type: CodeableConcept)
Alternate Names | extensions, user content, ProbleemLateraliteit
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. Condition.bodySite.extension:Laterality.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
80. Condition.bodySite.extension:Laterality.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.bodySite.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
82. Condition.bodySite.extension:Laterality.url
Definition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
Fixed Value | `http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier`
84. Condition.bodySite.extension:Laterality.value[x]
Definition | Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.
Short | BodySite qualifier
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from ProbleemLateraliteitCodelijst (extensible to `http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000` ) ProblemLateralityCodelist
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
86. Condition.bodySite.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
88. Condition.bodySite.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
90. Condition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Who has the condition?
Control | 1..1
Type | Reference(nl-core-patient)
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
92. Condition.context
Definition | Encounter during which the condition was first asserted.
Short | Encounter or episode when condition first asserted
Comments | This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".
Control | 0..1
Type | Reference(HCIM Encounter, nl-core-episodeofcare)
Summary | true
Alternate Names | encounter
94. Condition.onsetDateTime:onsetDateTime
Slice Name | onsetDateTime
Definition | Start of the disorder to which the problem applies. Especially in symptoms in which it takes longer for the final diagnosis, it is important to know not only the date of the diagnosis, but also how long the patient has had the disorder. A ‘vague’ date, such as only the year or the month and the year, is permitted.
Short | ProblemStartDate
Comments | Age is generally used when the patient reports an age at which the Condition began to occur.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | ProbleemBeginDatum
96. Condition.abatementDateTime:abatementDateTime
Slice Name | abatementDateTime
Definition | Date on which the disorder to which the problem applies, is considered not to be present anymore. This date does not need to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted.
Short | ProblemEndDate
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
Control | 0..1 This element is affected by the following invariants: con-4
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Alternate Names | ProbleemEindDatum
98. Condition.assertedDate
Definition | The date on which the existance of the Condition was first asserted or acknowledged.
Short | Date record was believed accurate
Comments | The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
100. Condition.asserter
Definition | Individual who is making the condition statement.
Short | Person who asserts this condition
Control | 0..1
Type | Reference(nl-core-relatedperson, nl-core-patient, nl-core-practitioner)
Summary | true
102. Condition.asserter.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
104. Condition.asserter.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `Condition.asserter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
106. Condition.asserter.extension:practitionerRole
Slice Name | practitionerRole
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(PractitionerRole Reference) (Extension Type: Reference)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
108. Condition.asserter.reference
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Short | Literal reference, Relative, internal or absolute URL
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Control | 0..1 This element is affected by the following invariants: ref-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
110. Condition.asserter.identifier
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Short | Logical reference, when literal reference is not known
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Summary | true
112. Condition.asserter.display
Definition | Plain text narrative that identifies the resource in addition to the resource reference.
Short | Text alternative for the resource
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
114. Condition.stage
Definition | Clinical stage or grade of a condition. May include formal severity assessments.
Short | Stage/grade, usually assessed formally
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) con-1: Stage SHALL have summary or assessment (`summary.exists() or assessment.exists()`)
116. Condition.stage.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
118. Condition.stage.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
120. Condition.stage.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
122. Condition.stage.summary
Definition | A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.
Short | Simple summary (disease specific)
Control | 0..1 This element is affected by the following invariants: con-1
Binding | For example codes, see Condition Stage (example to `http://hl7.org/fhir/ValueSet/condition-stage` ) Codes describing condition stages (e.g. Cancer stages).
Type | CodeableConcept
124. Condition.stage.assessment
Definition | Reference to a formal record of the evidence on which the staging assessment is based.
Short | Formal record of assessment
Control | 0..* This element is affected by the following invariants: con-1
Type | Reference(ClinicalImpression, DiagnosticReport, Observation)
126. Condition.evidence
Definition | Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.
Short | Supporting evidence
Comments | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`)
128. Condition.evidence.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
130. Condition.evidence.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
132. Condition.evidence.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
134. Condition.evidence.code
Definition | A manifestation or symptom that led to the recording of this condition.
Short | Manifestation/symptom
Control | 0..* This element is affected by the following invariants: con-2
Binding | For example codes, see Manifestation and Symptom Codes (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` ) Codes that describe the manifestation or symptoms of a condition.
Type | CodeableConcept
Summary | true
136. Condition.evidence.detail
Definition | Links to other relevant information, including pathology reports.
Short | Supporting information found elsewhere
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(Resource)
Summary | true
138. Condition.note
Definition | Comment by the one who determined or updated the Problem.
Short | Comment
Control | 0..*
Type | Annotation
Must Support | true
Alternate Names | Toelichting