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 (EU PS)

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

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.

Usage:

Formal Views of Profile Content

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

This structure is derived from ConditionUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition ConditionUvIps(2.0.0)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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
.... 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)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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"
.... 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"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code S 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT

... subject SΣ 1..1 Reference(Patient (EU PS)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.categoryextensibleProblemTypeUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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"
.... 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 S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code S 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (EU PS)) Who has the condition?
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... 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
... onset[x] SΣ 0..1 dateTime S Estimated or actual date, date-time, or age
... abatement[x] 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
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleProblemTypeUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ConditionUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition ConditionUvIps(2.0.0)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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
.... 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)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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"
.... 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"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category S 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code S 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT

... subject SΣ 1..1 Reference(Patient (EU PS)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... onset[x] SΣ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.categoryextensibleProblemTypeUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* ConditionUvIps(2.0.0) Documentation of a health problem of the patient
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... supportingInfo 0..* Reference(DocumentReference) Reference to additional information as Guidelines
URL: http://hl7.eu/fhir/eps/StructureDefinition/supportingInformation
.... 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"
.... 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 S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category S 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

... severity S 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Severity (required)
... code S 1..1 CodeableConceptIPS(2.0.0) TBD: update the VS binding
Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ 1..1 Reference(Patient (EU PS)) Who has the condition?
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... 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
... onset[x] SΣ 0..1 dateTime S Estimated or actual date, date-time, or age
... abatement[x] 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
con-1: Stage SHALL have summary or assessment
.... 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
con-2: evidence SHALL have code or details
.... 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

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleProblemTypeUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severityrequiredEHDSISeverity
http://terminology.ehdsi.eu/ValueSet/eHDSISeverity
from this IG
Condition.codepreferredProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips
Condition.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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