HL7 Europe Discharge Report
1.0.0-ci-build - ci-build 150

HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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/discharge-report/ and changes regularly. See the Directory of published versions

Resource Profile: Condition: obligations

Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/condition-obl-eu-dr Version: 1.0.0-ci-build
Standards status: Informative Maturity Level: 0 Computable Name: ConditionEuDrObligation

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

This profile defines obligations for the Condition resource for the purpose of this guide.

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: doco
Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.Slices for extension Content/Rules for all slices
Condition.Slices for extension.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
Condition.Slices for extension.extension:assertedDate.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
Condition.Slices for extension.extension:assertedDate.value[x] 1..1 dateTime Date and time of the diagnosis assertion
Condition.Slices for extension.extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element has obligations. This element is included in summaries. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element is a modifier element. This element has obligations. This element is included in summaries. C 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:able-to-populate Producer
Condition.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.code This element has obligations. This element is included in summaries. 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 Preferred
For cross border data exchange
ObligationsActor
SHALL:able-to-populate Producer
Condition.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Condition.bodySite.Slices for extension Content/Rules for all slices
Condition.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Condition.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Condition.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Condition.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.Slices for onset[x] This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. C 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition 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 error Condition 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 error Condition 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 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().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 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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition ConditionEuCore
Condition.identifier This element has obligations. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element has obligations. 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:able-to-populate Producer
Condition.code This element has obligations. 1..1 CodeableConcept Identification of the condition, problem or diagnosis
ObligationsActor
SHALL:able-to-populate Producer
Condition.subject This element has obligations. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.Slices for onset[x] Content/Rules for all slices
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] Content/Rules for all slices
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 0..1 id Logical id of this artifact
Condition.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.language 0..1 code Language of the condition content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Condition.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
Condition.contained 0..* Resource Contained, inline Resources
Condition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.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
Condition.Slices for extension.extension:assertedDate.id 0..1 string Unique id for inter-element referencing
Condition.Slices for extension.extension:assertedDate.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
Condition.Slices for extension.extension:assertedDate.value[x] 1..1 dateTime Date and time of the diagnosis assertion
Condition.Slices for extension.extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element has obligations. This element is included in summaries. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element is a modifier element. This element has obligations. This element is included in summaries. C 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:able-to-populate Producer
Condition.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.category 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
Condition.code This element has obligations. This element is included in summaries. 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 Preferred
For cross border data exchange
ObligationsActor
SHALL:able-to-populate Producer
Condition.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Condition.bodySite.id 0..1 string Unique id for inter-element referencing
Condition.bodySite.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Condition.bodySite.Slices for extension.extension:bodySite.id 0..1 string Unique id for inter-element referencing
Condition.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Condition.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Condition.bodySite.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Condition.bodySite.text This element is included in summaries. 0..1 string Plain text representation of the concept
Condition.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Condition.Slices for onset[x] This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. C 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer
Condition.recordedDate This element is included in summaries. 0..1 dateTime Date when the condition record was created
Condition.recorder This element is included in summaries. 0..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) Who recorded the condition
Condition.asserter This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who asserted the condition
Condition.stage C 0..* BackboneElement Stage/grade
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
Condition.stage.type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) Supporting information found elsewhere
Condition.note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 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 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition 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 error Condition 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 error Condition 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 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().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 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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionEuCore

Summary

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.Slices for extension Content/Rules for all slices
Condition.Slices for extension.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
Condition.Slices for extension.extension:assertedDate.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
Condition.Slices for extension.extension:assertedDate.value[x] 1..1 dateTime Date and time of the diagnosis assertion
Condition.Slices for extension.extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element has obligations. This element is included in summaries. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element is a modifier element. This element has obligations. This element is included in summaries. C 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:able-to-populate Producer
Condition.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.code This element has obligations. This element is included in summaries. 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 Preferred
For cross border data exchange
ObligationsActor
SHALL:able-to-populate Producer
Condition.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Condition.bodySite.Slices for extension Content/Rules for all slices
Condition.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Condition.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Condition.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Condition.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.Slices for onset[x] This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. C 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition 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 error Condition 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 error Condition 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 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().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 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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
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 ConditionEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition ConditionEuCore
Condition.identifier This element has obligations. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element has obligations. 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:able-to-populate Producer
Condition.code This element has obligations. 1..1 CodeableConcept Identification of the condition, problem or diagnosis
ObligationsActor
SHALL:able-to-populate Producer
Condition.bodySite This element has obligations. 0..* CodeableConcept Anatomical location, if relevant
ObligationsActor
SHOULD:able-to-populate Producer
Condition.subject This element has obligations. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.Slices for onset[x] Content/Rules for all slices
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] Content/Rules for all slices
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 0..1 id Logical id of this artifact
Condition.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Condition.language 0..1 code Language of the condition content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Condition.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
Condition.contained 0..* Resource Contained, inline Resources
Condition.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.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
Condition.Slices for extension.extension:assertedDate.id 0..1 string Unique id for inter-element referencing
Condition.Slices for extension.extension:assertedDate.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
Condition.Slices for extension.extension:assertedDate.value[x] 1..1 dateTime Date and time of the diagnosis assertion
Condition.Slices for extension.extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element has obligations. This element is included in summaries. 0..* Identifier External Ids for this condition
ObligationsActor
SHOULD:able-to-populate Producer
Condition.clinicalStatus This element is a modifier element. This element has obligations. This element is included in summaries. C 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActor
SHALL:able-to-populate Producer
Condition.verificationStatus This element is a modifier element. This element is included in summaries. C 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
Condition.category 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Condition.severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
Condition.code This element has obligations. This element is included in summaries. 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 Preferred
For cross border data exchange
ObligationsActor
SHALL:able-to-populate Producer
Condition.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Condition.bodySite.id 0..1 string Unique id for inter-element referencing
Condition.bodySite.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Condition.bodySite.Slices for extension.extension:bodySite.id 0..1 string Unique id for inter-element referencing
Condition.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Condition.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Condition.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Condition.bodySite.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Condition.bodySite.text This element is included in summaries. 0..1 string Plain text representation of the concept
Condition.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who has the condition?
ObligationsActor
SHALL:able-to-populate Producer
Condition.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Condition.Slices for onset[x] This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
Condition.Slices for onset[x].onset[x]:onsetDateTime This element has obligations. This element is included in summaries. 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Producer
Condition.Slices for abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
Condition.Slices for abatement[x].abatement[x]:abatementDateTime This element has obligations. C 0..1 dateTime When in resolution/remission
ObligationsActor
SHALL:able-to-populate Producer
Condition.recordedDate This element is included in summaries. 0..1 dateTime Date when the condition record was created
Condition.recorder This element is included in summaries. 0..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) Who recorded the condition
Condition.asserter This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who asserted the condition
Condition.stage C 0..* BackboneElement Stage/grade
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
Condition.stage.type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) Supporting information found elsewhere
Condition.note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 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 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition 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 error Condition 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 error Condition 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 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().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 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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionEuCore

Summary

Maturity: 0

 

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