HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Resource Profile: Condition (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-eu-eps Version: 0.0.1-ci
Standards status: Draft Maturity Level: 1 Computable Name: ConditionEuEps

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile constrains the Condition resource for the purpose of the European patient summary.

This profile constrains the Condition resource for the purpose of the European patient summary.

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..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... Slices for extension Content/Rules for all slices
...... extension:function 0..* Extension Type of participation

Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
....... extension 0..0
....... url 1..1 uri "function"
....... value[x] 1..1 CodeableConcept Value of extension
...... extension:actor 0..* Extension Who or what participated
....... extension 0..0
....... url 1..1 uri "actor"
....... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... Slices for extension Content/Rules for all slices
...... extension:concept 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "concept"
...... extension:reference 0..1 Extension Reason for this status (resource ref)
....... extension 0..0
....... url 1..1 uri "reference"
..... url 1..1 uri "http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason"
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SO 0..* CodeableConceptIPS(2.0.0) problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... severity SO 0..1 CodeableConceptIPS(2.0.0) Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who has the condition?
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
... Slices for onset[x] SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

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.category Base extensible Problem Type - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.0 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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition ConditionUvIps(2.0.0)
... 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:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... Slices for extension Content/Rules for all slices
...... extension:function 0..* Extension Type of participation
Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
...... extension:actor 0..* Extension Who or what participated
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Reason for this status (resource ref)
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
... bodySite 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject 1..1 Reference(Patient (EPS)) Who has the condition?
... Slices for onset[x] Content/Rules for all slices
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

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 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:function 0..* Extension Type of participation

Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "function"
....... value[x] 1..1 CodeableConcept Value of extension
...... extension:actor 0..* Extension Who or what participated
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "actor"
....... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:concept 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "concept"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:reference 0..1 Extension Reason for this status (resource ref)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(Procedure | MedicationStatement | CarePlan | MedicationAdministration) Value of extension
..... url 1..1 uri "http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SO 0..* CodeableConceptIPS(2.0.0) problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... severity SO 0..1 CodeableConceptIPS(2.0.0) Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who has the condition?
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$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 record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... 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 Problem Type - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.subject.type Base extensible ResourceType 📍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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionUvIps

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... Slices for extension Content/Rules for all slices
...... extension:function 0..* Extension Type of participation

Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
....... extension 0..0
....... url 1..1 uri "function"
....... value[x] 1..1 CodeableConcept Value of extension
...... extension:actor 0..* Extension Who or what participated
....... extension 0..0
....... url 1..1 uri "actor"
....... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... Slices for extension Content/Rules for all slices
...... extension:concept 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "concept"
...... extension:reference 0..1 Extension Reason for this status (resource ref)
....... extension 0..0
....... url 1..1 uri "reference"
..... url 1..1 uri "http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason"
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SO 0..* CodeableConceptIPS(2.0.0) problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... severity SO 0..1 CodeableConceptIPS(2.0.0) Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who has the condition?
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
... Slices for onset[x] SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

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.category Base extensible Problem Type - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.0 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())
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 ConditionUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition ConditionUvIps(2.0.0)
... 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:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... Slices for extension Content/Rules for all slices
...... extension:function 0..* Extension Type of participation
Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
...... extension:actor 0..* Extension Who or what participated
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Reason for this status (resource ref)
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
... bodySite 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject 1..1 Reference(Patient (EPS)) Who has the condition?
... Slices for onset[x] Content/Rules for all slices
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

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 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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:supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... extension:participantR5 0..1 (Complex) Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:function 0..* Extension Type of participation

Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "function"
....... value[x] 1..1 CodeableConcept Value of extension
...... extension:actor 0..* Extension Who or what participated
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "actor"
....... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Value of extension
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
.... extension:statusReason 0..1 (Complex) Condition Status Reason
URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:concept 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "concept"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:reference 0..1 Extension Reason for this status (resource ref)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(Procedure | MedicationStatement | CarePlan | MedicationAdministration) Value of extension
..... url 1..1 uri "http://hl7.eu/fhir/eps/StructureDefinition/condition-statusReason"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS(2.0.0) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... verificationStatus ?!ΣC 0..1 CodeableConceptIPS(2.0.0) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category SO 0..* CodeableConceptIPS(2.0.0) problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... severity SO 0..1 CodeableConceptIPS(2.0.0) Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the condition, problem or diagnosis
Binding: Problems - IPS (preferred): A problem code or a code for absent/unknown problem
Additional BindingsPurpose
eHDSI Illness and Disorder . candidate
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who has the condition?
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActorSource
SHOULD:able-to-populate Creator (IPS) from Condition (IPS)
SHALL:handle Consumer (IPS) from Condition (IPS)
SHOULD:display Consumer (IPS) from Condition (IPS)
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$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 record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... 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 Problem Type - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.subject.type Base extensible ResourceType 📍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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionUvIps

 

Other representations of profile: CSV, Excel, Schematron