HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary
1.0.0-ci-build - 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 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/eps/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps | Version: 1.0.0-ci-build | |||
| Draft as of 2026-02-06 | Computable Name: ConditionOblEuEps | |||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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IPS obligations extracted from the Condition profile.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||||||
   extension:assertedDate |
0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||||||||||||
   extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" | |||||||||||||||
 value[x] |
1..1 | dateTime | Date and time of the diagnosis assertion | |||||||||||||||
 extension:relatedArtifact |
0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact | |||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
 clinicalStatus |
?!OΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
O | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| ||||||||||||||
| severity |
O | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||||||||||
 subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||||||||||
 reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| Slices for onset[x] |
OΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
| |||||||||||||||
 onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||
 Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||||||||||
 abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| 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 | 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 | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| 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 ConditionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses 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 | ||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||
| extension:assertedDate |
0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" | |||||||||||||||
| value[x] |
1..1 | dateTime | Date and time of the diagnosis assertion | |||||||||||||||
| extension:relatedArtifact |
0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
O | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| ||||||||||||||
| severity |
O | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||||
| 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:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||||||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | 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 |
OΣC | 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 | ||||||||||||||
| Slices for onset[x] |
OΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
| |||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||||||||||
| abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| recordedDate |
Σ | 0..1 | dateTime | Date when the condition record was created | ||||||||||||||
| recorder |
Σ | 0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | 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 Constraints: con-1 | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||
| summary |
C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||||
| evidence |
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 | |||||||||||||||
| Documentation for this format | ||||||||||||||||||
| 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 | 📦2.0.0 | 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. |
| 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 ConditionEuCore
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||||
| extension:assertedDate |
0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" | |||||||||||||||
| value[x] |
1..1 | dateTime | Date and time of the diagnosis assertion | |||||||||||||||
| extension:relatedArtifact |
0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
O | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| ||||||||||||||
| severity |
O | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| Slices for onset[x] |
OΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
| |||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||||||||||
| abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| 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 | 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 | 📦2.0.0 | International Patient Summary Implementation Guide v2.0 |
| 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 ConditionEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
ConditionEuCore | |||||||||||
 clinicalStatus |
O | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
| ||||||||
| category |
O | 0..* | CodeableConcept | Category
| ||||||||
| severity |
O | 0..1 | CodeableConcept | Subjective severity of condition
| ||||||||
| code |
O | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis
| ||||||||
| subject |
O | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||||
| reference |
O | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| onset[x] |
O | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age
| ||||||||
| Slices for onset[x] |
Content/Rules for all slices | |||||||||||
| onset[x]:onsetDateTime |
O | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuCore | Detailed information about conditions, problems or diagnoses 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 | ||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||
| extension:assertedDate |
0..1 | (Complex) | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" | |||||||||||||||
| value[x] |
1..1 | dateTime | Date and time of the diagnosis assertion | |||||||||||||||
| extension:relatedArtifact |
0..* | RelatedArtifact | Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
O | 0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| ||||||||||||||
| severity |
O | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||
| code |
OΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||||
| 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:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||||||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | 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 |
OΣC | 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 | ||||||||||||||
| Slices for onset[x] |
OΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
| |||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this | |||||||||||||||
| abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| recordedDate |
Σ | 0..1 | dateTime | Date when the condition record was created | ||||||||||||||
| recorder |
Σ | 0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | 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 Constraints: con-1 | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||
| summary |
C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||||
| evidence |
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 | |||||||||||||||
| Documentation for this format | ||||||||||||||||||
| 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 | 📦2.0.0 | 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. |
| 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 ConditionEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-02-06
