Smart Health Checks
0.3.0 - ci-build Australia flag

Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions

Resource Profile: SmartHealthChecksCondition - Detailed Descriptions

Draft as of 2025-09-05

Definitions for the SHCCondition resource profile.

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

0. Condition
Definition

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

ShortA condition, problem or diagnosis statement in an Australian healthcare contextDetailed information about conditions, problems or diagnoses
Control0..*
Is Modifierfalse
Summaryfalse
Invariantscon-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
2. Condition.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical 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.

Control0..1
Typeidstring
Is Modifierfalse
Must Supporttrue
Obligations
    ObligationsActor
    SHALL:populateSHC Host FHIR Server
    SHALL:processSHC App
    Summarytrue
    4. 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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    ShortA 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Condition.clinicalStatus
    Definition

    The clinical status of the condition.

    Shortactive | recurrence | relapse | inactive | remission | resolved
    Comments

    The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

    Control0..1
    This element is affected by the following invariants: con-3, con-4, con-5
    BindingThe codes SHALL be taken from ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
    (required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

    The clinical status of the condition or diagnosis.

    TypeCodeableConcept
    Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
    Must Supporttrue
    Obligations
      ObligationsActorSource
      SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
      SHALL:no-errorAU Core Requesterfrom AU Core Condition
      SHALL:populate-if-knownAU Core Responder
      SHALL:no-errorAU Core Requester
      SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
      SHALL:populate & SHALL:processSHC App
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Condition.verificationStatus
      Definition

      The verification status to support the clinical status of the condition.

      Shortunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
      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. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

      Control0..1
      This element is affected by the following invariants: con-3, con-5
      BindingThe codes SHALL be taken from ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

      The verification status to support or decline the clinical status of the condition or diagnosis.

      TypeCodeableConcept
      Is Modifiertrue because 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.
      Must Supporttrue
      Obligations
        ObligationsActorSource
        SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
        SHALL:no-errorAU Core Requesterfrom AU Core Condition
        SHALL:populate-if-knownAU Core Responder
        SHALL:no-errorAU Core Requester
        SHALL:populate-if-knownSHC Host FHIR Server
        SHALL:processSHC App
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Condition.category
        Definition

        A category assigned to the condition.

        Shortproblem-list-item | encounter-diagnosis
        Comments

        The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

        Control10..*
        BindingUnless not suitable, these codes SHALL be taken from ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category
        (extensible to http://hl7.org/fhir/ValueSet/condition-category)

        A category assigned to the condition.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Obligations
          ObligationsActorSource
          SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
          SHALL:no-errorAU Core Requesterfrom AU Core Condition
          SHALL:populate-if-knownAU Core Responder
          SHALL:no-errorAU Core Requester
          SHALL:populate & SHALL:persistSHC Host FHIR Server
          SHALL:populateSHC App
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. Condition.severity
          Definition

          A subjective assessment of the severity of the condition as evaluated by the clinician.

          ShortSubjective severity of condition
          Comments

          Coding of the severity with a terminology is preferred, where possible.

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity
          (extensible to http://hl7.org/fhir/ValueSet/condition-severity)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Obligations
            ObligationsActorSource
            SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
            SHALL:no-errorAU Core Requesterfrom AU Core Condition
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. Condition.code
            Definition

            Identification of the condition, problem or diagnosis.

            ShortIdentification of the condition, problem or diagnosis
            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from For example codes, see Clinical Conditionhttp://hl7.org/fhir/ValueSet/condition-code
            (extensible to https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1)
            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Obligations
              ObligationsActorSource
              SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
              SHALL:no-errorAU Core Requesterfrom AU Core Condition
              SHALL:populate-if-knownAU Core Responder
              SHALL:no-errorAU Core Requester
              SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
              SHALL:populate-if-known & SHALL:processSHC App
              Summarytrue
              Requirements

              0..1 to account for primarily narrative only resources.

              Alternate Namestype
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              18. Condition.subject
              Definition

              Indicates the patient or group who the condition record is associated with.

              ShortWho has the condition?
              Control1..1
              TypeReference(AU Core Patient, Patient, Group)
              Is Modifierfalse
              Must Supporttrue
              Obligations
                ObligationsActorSource
                SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                SHALL:no-errorAU Core Requesterfrom AU Core Condition
                SHALL:populate-if-knownAU Core Responder
                SHALL:no-errorAU Core Requester
                SHALL:populate & SHALL:persistSHC Host FHIR Server
                SHALL:populateSHC App
                Summarytrue
                Requirements

                Group is typically used for veterinary or public health use cases.

                Alternate Namespatient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                20. Condition.onset[x]
                Definition

                Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                ShortEstimated 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.

                Control0..1
                TypeChoice of: dateTime, Age, Period, Range, string
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Obligations
                  ObligationsActorSource
                  SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                  SHALL:no-errorAU Core Requesterfrom AU Core Condition
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • type @ $this
                  • 22. Condition.onset[x]:onsetDateTime
                    Slice NameonsetDateTime
                    Definition

                    Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                    ShortEstimated 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.

                    Control0..1
                    TypedateTime, string, Period, Range, Age
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Obligations
                      ObligationsActorSource
                      SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                      SHALL:no-errorAU Core Requesterfrom AU Core Condition
                      SHALL:populate-if-knownAU Core Responder
                      SHALL:no-errorAU Core Requester
                      SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                      SHALL:populate-if-known & SHALL:processSHC App
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      24. Condition.abatement[x]
                      Definition

                      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.

                      ShortWhen 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.

                      Control0..1
                      This element is affected by the following invariants: con-4
                      TypeChoice of: dateTime, Age, Period, Range, string
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Must Support TypesNo must-support rules about the choice of types/profiles
                      Obligations
                        ObligationsActorSource
                        SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                        SHALL:no-errorAU Core Requesterfrom AU Core Condition
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • type @ $this
                        • 26. Condition.abatement[x]:abatementDateTime
                          Slice NameabatementDateTime
                          Definition

                          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.

                          ShortWhen 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.

                          Control0..1
                          This element is affected by the following invariants: con-4
                          TypedateTime, string, Period, Range, Age
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Obligations
                            ObligationsActorSource
                            SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                            SHALL:no-errorAU Core Requesterfrom AU Core Condition
                            SHALL:populate-if-knownAU Core Responder
                            SHALL:no-errorAU Core Requester
                            SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                            SHALL:processSHC App
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            28. Condition.note
                            Definition

                            Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                            ShortAdditional information about the Condition
                            Control0..*
                            TypeAnnotation
                            Is Modifierfalse
                            Must Supporttrue
                            Obligations
                              ObligationsActorSource
                              SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                              SHALL:no-errorAU Core Requesterfrom AU Core Condition
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              30. Condition.note.text
                              Definition

                              The text of the annotation in markdown format.

                              ShortThe annotation - text content (as markdown)
                              Control1..1
                              Typemarkdown
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Obligations
                                ObligationsActor
                                SHALL:persistSHC Host FHIR Server
                                SHALL:populate-if-knownSHC App
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

                                0. Condition
                                2. Condition.id
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:populateSHC Host FHIR Server
                                  SHALL:processSHC App
                                  4. Condition.clinicalStatus
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownAU Core Responder
                                    SHALL:no-errorAU Core Requester
                                    SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                    SHALL:populate & SHALL:processSHC App
                                    6. Condition.verificationStatus
                                    Obligations
                                      ObligationsActor
                                      SHALL:populate-if-knownAU Core Responder
                                      SHALL:no-errorAU Core Requester
                                      SHALL:populate-if-knownSHC Host FHIR Server
                                      SHALL:processSHC App
                                      8. Condition.category
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownAU Core Responder
                                        SHALL:no-errorAU Core Requester
                                        SHALL:populate & SHALL:persistSHC Host FHIR Server
                                        SHALL:populateSHC App
                                        10. Condition.code
                                        Obligations
                                          ObligationsActor
                                          SHALL:populate-if-knownAU Core Responder
                                          SHALL:no-errorAU Core Requester
                                          SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                          SHALL:populate-if-known & SHALL:processSHC App
                                          12. Condition.subject
                                          Obligations
                                            ObligationsActor
                                            SHALL:populate-if-knownAU Core Responder
                                            SHALL:no-errorAU Core Requester
                                            SHALL:populate & SHALL:persistSHC Host FHIR Server
                                            SHALL:populateSHC App
                                            14. Condition.onset[x]
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • type @ $this
                                            • 16. Condition.onset[x]:onsetDateTime
                                              Slice NameonsetDateTime
                                              Control0..1
                                              TypedateTime
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:populate-if-knownAU Core Responder
                                                SHALL:no-errorAU Core Requester
                                                SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                SHALL:populate-if-known & SHALL:processSHC App
                                                18. Condition.abatement[x]
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • type @ $this
                                                • 20. Condition.abatement[x]:abatementDateTime
                                                  Slice NameabatementDateTime
                                                  Control0..1
                                                  TypedateTime
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:populate-if-knownAU Core Responder
                                                    SHALL:no-errorAU Core Requester
                                                    SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                    SHALL:processSHC App
                                                    22. Condition.note
                                                    24. Condition.note.text
                                                    Must Supporttrue
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:persistSHC Host FHIR Server
                                                      SHALL:populate-if-knownSHC App

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

                                                      0. Condition
                                                      Definition

                                                      A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

                                                      ShortA condition, problem or diagnosis statement in an Australian healthcare context
                                                      Control0..*
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantscon-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
                                                      con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
                                                      con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
                                                      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                      dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                      dom-6: A resource should have narrative for robust management (text.`div`.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.

                                                      ShortLogical 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.

                                                      Control0..1
                                                      Typeid
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:populateSHC Host FHIR Server
                                                        SHALL:processSHC App
                                                        Summarytrue
                                                        4. Condition.meta
                                                        Definition

                                                        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                        ShortMetadata about the resource
                                                        Control0..1
                                                        TypeMeta
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                        ShortA 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                        Control0..1
                                                        Typeuri
                                                        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        8. Condition.language
                                                        Definition

                                                        The base language in which the resource is written.

                                                        ShortLanguage 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).

                                                        Control0..1
                                                        BindingThe codes SHOULD be taken from CommonLanguages
                                                        (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                        A human language.

                                                        Additional BindingsPurpose
                                                        AllLanguagesMax Binding
                                                        Typecode
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        10. Condition.text
                                                        Definition

                                                        A human-readable narrative that contains a summary of the resource and can 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.

                                                        ShortText 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 information is added later.

                                                        Control0..1
                                                        TypeNarrative
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesnarrative, html, xhtml, display
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        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.

                                                        ShortContained, 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                        Control0..*
                                                        TypeResource
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesinline 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. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional 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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions 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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                        Summaryfalse
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        18. Condition.identifier
                                                        Definition

                                                        Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

                                                        ShortExternal Ids for this condition
                                                        Comments

                                                        This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..*
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Requirements

                                                        Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        20. Condition.clinicalStatus
                                                        Definition

                                                        The clinical status of the condition.

                                                        Shortactive | recurrence | relapse | inactive | remission | resolved
                                                        Comments

                                                        The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

                                                        Control0..1
                                                        This element is affected by the following invariants: con-3, con-4, con-5
                                                        BindingThe codes SHALL be taken from ConditionClinicalStatusCodes
                                                        (required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

                                                        The clinical status of the condition or diagnosis.

                                                        TypeCodeableConcept
                                                        Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActorSource
                                                          SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                          SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                          SHALL:populate-if-knownAU Core Responder
                                                          SHALL:no-errorAU Core Requester
                                                          SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                          SHALL:populate & SHALL:processSHC App
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          22. Condition.verificationStatus
                                                          Definition

                                                          The verification status to support the clinical status of the condition.

                                                          Shortunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
                                                          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. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

                                                          Control0..1
                                                          This element is affected by the following invariants: con-3, con-5
                                                          BindingThe codes SHALL be taken from ConditionVerificationStatus
                                                          (required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

                                                          The verification status to support or decline the clinical status of the condition or diagnosis.

                                                          TypeCodeableConcept
                                                          Is Modifiertrue because 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.
                                                          Must Supporttrue
                                                          Obligations
                                                            ObligationsActorSource
                                                            SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                            SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                            SHALL:populate-if-knownAU Core Responder
                                                            SHALL:no-errorAU Core Requester
                                                            SHALL:populate-if-knownSHC Host FHIR Server
                                                            SHALL:processSHC App
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            24. Condition.category
                                                            Definition

                                                            A category assigned to the condition.

                                                            Shortproblem-list-item | encounter-diagnosis
                                                            Comments

                                                            The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

                                                            Control1..*
                                                            BindingUnless not suitable, these codes SHALL be taken from ConditionCategoryCodes
                                                            (extensible to http://hl7.org/fhir/ValueSet/condition-category)

                                                            A category assigned to the condition.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Obligations
                                                              ObligationsActorSource
                                                              SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                              SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                              SHALL:populate-if-knownAU Core Responder
                                                              SHALL:no-errorAU Core Requester
                                                              SHALL:populate & SHALL:persistSHC Host FHIR Server
                                                              SHALL:populateSHC App
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              26. Condition.severity
                                                              Definition

                                                              A subjective assessment of the severity of the condition as evaluated by the clinician.

                                                              ShortSubjective severity of condition
                                                              Comments

                                                              Coding of the severity with a terminology is preferred, where possible.

                                                              Control0..1
                                                              BindingUnless not suitable, these codes SHALL be taken from Condition/DiagnosisSeverity
                                                              (extensible to http://hl7.org/fhir/ValueSet/condition-severity)
                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Obligations
                                                                ObligationsActorSource
                                                                SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                28. Condition.code
                                                                Definition

                                                                Identification of the condition, problem or diagnosis.

                                                                ShortIdentification of the condition, problem or diagnosis
                                                                Control1..1
                                                                BindingUnless not suitable, these codes SHALL be taken from Clinical Condition
                                                                (extensible to https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1)
                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Obligations
                                                                  ObligationsActorSource
                                                                  SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                  SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                  SHALL:populate-if-knownAU Core Responder
                                                                  SHALL:no-errorAU Core Requester
                                                                  SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                                  SHALL:populate-if-known & SHALL:processSHC App
                                                                  Summarytrue
                                                                  Requirements

                                                                  0..1 to account for primarily narrative only resources.

                                                                  Alternate Namestype
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  30. Condition.bodySite
                                                                  Definition

                                                                  The anatomical location where this condition manifests itself.

                                                                  ShortAnatomical location, if relevant
                                                                  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 bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

                                                                  Control0..*
                                                                  This element is affected by the following invariants: au-core-cond-01
                                                                  BindingUnless not suitable, these codes SHALL be taken from Body Site .
                                                                  (extensible to https://healthterminologies.gov.au/fhir/ValueSet/body-site-1)
                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  au-core-cond-01: If a coded body site is provided, at least one coding shall be from SNOMED CT (coding.exists() implies coding.where(system='http://snomed.info/sct').exists())
                                                                  32. Condition.subject
                                                                  Definition

                                                                  Indicates the patient or group who the condition record is associated with.

                                                                  ShortWho has the condition?
                                                                  Control1..1
                                                                  TypeReference(AU Core Patient)
                                                                  Is Modifierfalse
                                                                  Must Supporttrue
                                                                  Obligations
                                                                    ObligationsActorSource
                                                                    SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                    SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                    SHALL:populate-if-knownAU Core Responder
                                                                    SHALL:no-errorAU Core Requester
                                                                    SHALL:populate & SHALL:persistSHC Host FHIR Server
                                                                    SHALL:populateSHC App
                                                                    Summarytrue
                                                                    Requirements

                                                                    Group is typically used for veterinary or public health use cases.

                                                                    Alternate Namespatient
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    34. Condition.encounter
                                                                    Definition

                                                                    The Encounter during which this Condition was created or to which the creation of this record is tightly associated.

                                                                    ShortEncounter created as part of
                                                                    Comments

                                                                    This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. 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".

                                                                    Control0..1
                                                                    TypeReference(Encounter)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    36. Condition.onset[x]
                                                                    Definition

                                                                    Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                                                                    ShortEstimated 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.

                                                                    Control0..1
                                                                    TypeChoice of: dateTime, Age, Period, Range
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Must Support TypesNo must-support rules about the choice of types/profiles
                                                                    Obligations
                                                                      ObligationsActorSource
                                                                      SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                      SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • type @ $this
                                                                      • 38. Condition.onset[x]:onsetDateTime
                                                                        Slice NameonsetDateTime
                                                                        Definition

                                                                        Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                                                                        ShortEstimated 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.

                                                                        Control0..1
                                                                        TypedateTime
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supporttrue
                                                                        Obligations
                                                                          ObligationsActorSource
                                                                          SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                          SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                          SHALL:populate-if-knownAU Core Responder
                                                                          SHALL:no-errorAU Core Requester
                                                                          SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                                          SHALL:populate-if-known & SHALL:processSHC App
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          40. Condition.abatement[x]
                                                                          Definition

                                                                          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.

                                                                          ShortWhen 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.

                                                                          Control0..1
                                                                          This element is affected by the following invariants: con-4
                                                                          TypeChoice of: dateTime, Age, Period, Range
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                                                          Obligations
                                                                            ObligationsActorSource
                                                                            SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                            SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • type @ $this
                                                                            • 42. Condition.abatement[x]:abatementDateTime
                                                                              Slice NameabatementDateTime
                                                                              Definition

                                                                              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.

                                                                              ShortWhen 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.

                                                                              Control0..1
                                                                              This element is affected by the following invariants: con-4
                                                                              TypedateTime
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Must Supporttrue
                                                                              Obligations
                                                                                ObligationsActorSource
                                                                                SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                                SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                                SHALL:populate-if-knownAU Core Responder
                                                                                SHALL:no-errorAU Core Requester
                                                                                SHALL:populate-if-known & SHALL:persistSHC Host FHIR Server
                                                                                SHALL:processSHC App
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                44. Condition.recordedDate
                                                                                Definition

                                                                                The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.

                                                                                ShortDate record was first recorded
                                                                                Control0..1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                46. Condition.recorder
                                                                                Definition

                                                                                Individual who recorded the record and takes responsibility for its content.

                                                                                ShortWho recorded the condition
                                                                                Control0..1
                                                                                TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                48. Condition.asserter
                                                                                Definition

                                                                                Individual who is making the condition statement.

                                                                                ShortPerson who asserts this condition
                                                                                Control0..1
                                                                                TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                50. Condition.stage
                                                                                Definition

                                                                                Clinical stage or grade of a condition. May include formal severity assessments.

                                                                                ShortStage/grade, usually assessed formally
                                                                                Control0..*
                                                                                TypeBackboneElement
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantscon-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                52. 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.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                54. Condition.stage.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional 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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                56. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                Summarytrue
                                                                                Requirements

                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                Alternate Namesextensions, user content, modifiers
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                58. Condition.stage.summary
                                                                                Definition

                                                                                A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

                                                                                ShortSimple summary (disease specific)
                                                                                Control0..1
                                                                                This element is affected by the following invariants: con-1
                                                                                BindingFor example codes, see ConditionStage
                                                                                (example to http://hl7.org/fhir/ValueSet/condition-stage)

                                                                                Codes describing condition stages (e.g. Cancer stages).

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                60. Condition.stage.assessment
                                                                                Definition

                                                                                Reference to a formal record of the evidence on which the staging assessment is based.

                                                                                ShortFormal record of assessment
                                                                                Control0..*
                                                                                This element is affected by the following invariants: con-1
                                                                                TypeReference(ClinicalImpression, DiagnosticReport, Observation)
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                62. Condition.stage.type
                                                                                Definition

                                                                                The kind of staging, such as pathological or clinical staging.

                                                                                ShortKind of staging
                                                                                Control0..1
                                                                                BindingFor example codes, see ConditionStageType
                                                                                (example to http://hl7.org/fhir/ValueSet/condition-stage-type)

                                                                                Codes describing the kind of condition staging (e.g. clinical or pathological).

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                64. Condition.evidence
                                                                                Definition

                                                                                Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

                                                                                ShortSupporting evidence
                                                                                Comments

                                                                                The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

                                                                                Control0..*
                                                                                TypeBackboneElement
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Invariantscon-2: evidence SHALL have code or details (code.exists() or detail.exists())
                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                66. 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.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                68. Condition.evidence.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional 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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                70. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                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.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                Summarytrue
                                                                                Requirements

                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                Alternate Namesextensions, user content, modifiers
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                72. Condition.evidence.code
                                                                                Definition

                                                                                A manifestation or symptom that led to the recording of this condition.

                                                                                ShortManifestation/symptom
                                                                                Control0..*
                                                                                This element is affected by the following invariants: con-2
                                                                                BindingThe codes SHOULD be taken from Clinical Finding .
                                                                                (preferred to https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1)
                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                74. Condition.evidence.detail
                                                                                Definition

                                                                                Links to other relevant information, including pathology reports.

                                                                                ShortSupporting information found elsewhere
                                                                                Control0..*
                                                                                This element is affected by the following invariants: con-2
                                                                                TypeReference(Resource)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                76. Condition.note
                                                                                Definition

                                                                                Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                                                ShortAdditional information about the Condition
                                                                                Control0..*
                                                                                TypeAnnotation
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Obligations
                                                                                  ObligationsActorSource
                                                                                  SHALL:populate-if-knownAU Core Responderfrom AU Core Condition
                                                                                  SHALL:no-errorAU Core Requesterfrom AU Core Condition
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  78. Condition.note.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  80. Condition.note.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional 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.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 82. Condition.note.author[x]
                                                                                    Definition

                                                                                    The individual responsible for making the annotation.

                                                                                    ShortIndividual responsible for the annotation
                                                                                    Comments

                                                                                    Organization is used when there's no need for specific attribution as to who made the comment.

                                                                                    Control0..1
                                                                                    TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    84. Condition.note.time
                                                                                    Definition

                                                                                    Indicates when this particular annotation was made.

                                                                                    ShortWhen the annotation was made
                                                                                    Control0..1
                                                                                    TypedateTime
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    86. Condition.note.text
                                                                                    Definition

                                                                                    The text of the annotation in markdown format.

                                                                                    ShortThe annotation - text content (as markdown)
                                                                                    Control1..1
                                                                                    Typemarkdown
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:persistSHC Host FHIR Server
                                                                                      SHALL:populate-if-knownSHC App
                                                                                      Summarytrue
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))