Seisund ja diagnoos IG
0.1.0 - draft EE

Seisund ja diagnoos IG, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-diagnosis/ and changes regularly. See the Directory of published versions

## Resource Profile: Clinical Condition

Official URL: https://fhir.ee/dgn/StructureDefinition/ee-tis-condition | Version: 0.1.0
Draft as of 2026-05-18 | Computable Name: EETISCondition

Diagnoosi teenuse alusprofiil seisundile

Usages:

- This Profile is not used by any profiles in this Implementation Guide

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus | ?!Σ C | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.) Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ | 0..1 | CodeableConcept | (ee kinnitusstaatus) Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category | C | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.) Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity |  | 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 | Σ | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.) Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite | Σ | 0..* | CodeableConcept | (ee Anatoomiline asukoht) Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject | Σ | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter | Σ | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] | Σ | 0..1 |  | algus
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | C | 0..1 |  | lõpp
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant | Σ | 0..* | BackboneElement | Vastutaja
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | kas on vaja? Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍5.0.0 | FHIR Std.
Condition.verificationStatus | Base | required | Condition Verification Status | 📍5.0.0 | FHIR Std.
Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍5.0.0 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
Condition.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | FHIR Std.
Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | 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())`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
meta |  |  |  |
security |  | 0..* | Coding | Siia konfidentsiaalsused???
identifier |  | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus |  | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.)
verificationStatus |  | 0..1 | CodeableConcept | (ee kinnitusstaatus)
category |  | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition
code |  | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.)
bodySite |  | 0..* | CodeableConcept | (ee Anatoomiline asukoht)
subject |  | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter |  | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | algus
abatement[x] |  | 0..1 | dateTime, Age, Period, Range, string | lõpp
recordedDate |  | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant |  | 0..* | BackboneElement | Vastutaja
function |  | 0..1 | CodeableConcept | kas on vaja?
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage |  | 0..* | BackboneElement | Stage/grade, usually assessed formally
summary |  | 0..1 | CodeableConcept | Simple summary (disease specific)
assessment |  | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging
evidence |  | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Siia konfidentsiaalsused??? Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus | ?!Σ C | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.) Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ | 0..1 | CodeableConcept | (ee kinnitusstaatus) Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category | C | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.) Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity |  | 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 | Σ | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.) Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite | Σ | 0..* | CodeableConcept | (ee Anatoomiline asukoht) Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject | Σ | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter | Σ | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] | Σ | 0..1 |  | algus
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | C | 0..1 |  | lõpp
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant | Σ | 0..* | BackboneElement | Vastutaja
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
function | Σ | 0..1 | CodeableConcept | kas on vaja? Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
Condition.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
Condition.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍5.0.0 | FHIR Std.
Condition.verificationStatus | Base | required | Condition Verification Status | 📍5.0.0 | FHIR Std.
Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍5.0.0 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
Condition.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | FHIR Std.
Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | 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())`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Condition

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus | ?!Σ C | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.) Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ | 0..1 | CodeableConcept | (ee kinnitusstaatus) Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category | C | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.) Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity |  | 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 | Σ | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.) Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite | Σ | 0..* | CodeableConcept | (ee Anatoomiline asukoht) Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject | Σ | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter | Σ | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] | Σ | 0..1 |  | algus
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | C | 0..1 |  | lõpp
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant | Σ | 0..* | BackboneElement | Vastutaja
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | kas on vaja? Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍5.0.0 | FHIR Std.
Condition.verificationStatus | Base | required | Condition Verification Status | 📍5.0.0 | FHIR Std.
Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍5.0.0 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
Condition.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | FHIR Std.
Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | 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())`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
meta |  |  |  |
security |  | 0..* | Coding | Siia konfidentsiaalsused???
identifier |  | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus |  | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.)
verificationStatus |  | 0..1 | CodeableConcept | (ee kinnitusstaatus)
category |  | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition
code |  | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.)
bodySite |  | 0..* | CodeableConcept | (ee Anatoomiline asukoht)
subject |  | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter |  | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] |  | 0..1 | dateTime, Age, Period, Range, string | algus
abatement[x] |  | 0..1 | dateTime, Age, Period, Range, string | lõpp
recordedDate |  | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant |  | 0..* | BackboneElement | Vastutaja
function |  | 0..1 | CodeableConcept | kas on vaja?
actor |  | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage |  | 0..* | BackboneElement | Stage/grade, usually assessed formally
summary |  | 0..1 | CodeableConcept | Simple summary (disease specific)
assessment |  | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging
evidence |  | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Siia konfidentsiaalsused??? Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | ee. diagnoosi id vaja sliceda! lokaalne ja ülene.
clinicalStatus | ?!Σ C | 1..1 | CodeableConcept | (ee Diagnoosi olek ajas.) Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ | 0..1 | CodeableConcept | (ee kinnitusstaatus) Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category | C | 0..* | CodeableConcept | (ee Diagnoosi kliiniline kontekst.) Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity |  | 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 | Σ | 0..1 | CodeableConcept | (ee Haiguse või seisundi ametlik kood ja nimetus vastavalt standardsele klassifikaatorile.) Binding: ConditionProblemDiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite | Σ | 0..* | CodeableConcept | (ee Anatoomiline asukoht) Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject | Σ | 1..1 | Reference(Patient | Group) | (ee Diagnoosiga seotud patsient)
encounter | Σ | 0..1 | Reference(Encounter) | (ee Seos tervishoiukontaktiga)
onset[x] | Σ | 0..1 |  | algus
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | C | 0..1 |  | lõpp
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | (ee Aeg, mil diagnoos sisestati infosüsteemi (reaalajas või tagantjärele). Juriidiliselt oluline ajamarker.)
participant | Σ | 0..* | BackboneElement | Vastutaja
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
function | Σ | 0..1 | CodeableConcept | kas on vaja? Binding: ParticipationRoleType (extensible)
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) | kas on vaja?
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note |  | 0..* | Annotation | (ee Vabatekstiline kliiniline kirjeldus diagnoosi täpsustamiseks.)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
Condition.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
Condition.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍5.0.0 | FHIR Std.
Condition.verificationStatus | Base | required | Condition Verification Status | 📍5.0.0 | FHIR Std.
Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍5.0.0 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
Condition.participant.​function | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | FHIR Std.
Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | 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())`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Condition

Summary

Other representations of profile: CSV, Excel, Schematron