HL7 Europe Base and Core FHIR IG
0.2.0-ci-build - ci-build 150

HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base-r5/ and changes regularly. See the Directory of published versions

Resource Profile: Condition (EU core)

Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/condition-eu-core Version: 0.2.0-ci-build
Draft as of 2025-11-29 Computable Name: ConditionEuCore

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile sets minimum expectations for the Condition resource common to most of the use cases.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!Σ 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category C 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code Σ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category 0..* CodeableConcept Category
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... subject 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime 0..1 dateTime When in resolution/remission
... recordedDate 0..1 dateTime Date when the condition record was created
... participant
.... actor 1..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson | Device | Organization (EU core) | CareTeam) Who or what participated in the activities related to the condition
... stage 0..* BackboneElement Stage/grade
.... summary 0..1 CodeableConcept Most recent Stage Group
.... assessment 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!Σ 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category C 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code Σ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Logical reference, when literal reference is not known
.... display ΣC 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Condition was created
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the condition and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson | Device | Organization (EU core) | CareTeam) Who or what participated in the activities related to the condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence Σ 0..* CodeableReference(Resource) Supporting evidence for the verification status
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍5.0.0 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
Condition.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Condition.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!Σ 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category C 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code Σ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category 0..* CodeableConcept Category
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... subject 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime 0..1 dateTime When in resolution/remission
... recordedDate 0..1 dateTime Date when the condition record was created
... participant
.... actor 1..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson | Device | Organization (EU core) | CareTeam) Who or what participated in the activities related to the condition
... stage 0..* BackboneElement Stage/grade
.... summary 0..1 CodeableConcept Most recent Stage Group
.... assessment 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-2, con-3
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!Σ 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category C 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: ConditionDiagnosisSeverity (preferred)
... code Σ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additional BindingsPurposeDocumentation
eHDSI Illness and Disorder . candidate
For cross border data exchange
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Logical reference, when literal reference is not known
.... display ΣC 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Condition was created
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the condition and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType (extensible)
.... actor Σ 1..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson | Device | Organization (EU core) | CareTeam) Who or what participated in the activities related to the condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence Σ 0..* CodeableReference(Resource) Supporting evidence for the verification status
Binding: SNOMEDCTClinicalFindings (example)
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍5.0.0 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📦5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦5.0.0 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0-ballot tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
Condition.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Condition.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 warning Condition If category is problems list item, the clinicalStatus should not be unknown category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron