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 | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: ConditionOblEuEps | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile sets the IPS obligations on the EU Core 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 |
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 |
C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| |||||||||||||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| |||||||||||||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| |||||||||||||||
 subject |
1..1 | Reference(Patient (EU core)) | Who has the condition?
| |||||||||||||||
 reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| Slices for onset[x] |
0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||||
 onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
0..1 | dateTime | Estimated or actual date, date-time, or age
| |||||||||||||||
 Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
 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 | 📦2.0.1 | 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 |
0..1 | id | Logical id of this artifact | |||||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| language |
0..1 | code | Language of the condition 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
| 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 | string | 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 |
0..* | Identifier | External Ids for this condition | |||||||||||||||
| clinicalStatus |
C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| |||||||||||||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| |||||||||||||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| |||||||||||||||
| bodySite |
C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1 | ||||||||||||||
| 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 | string | 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 |
0..* | Coding | Code defined by a terminology system | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| subject |
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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||||||||||||
| Slices for onset[x] |
0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
| abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| recordedDate |
0..1 | dateTime | Date when the condition record was created | |||||||||||||||
| recorder |
0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) | Who recorded the condition | |||||||||||||||
| asserter |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who asserted the condition | |||||||||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade Constraints: con-1 | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||
| code |
C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||||
| detail |
C | 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 | 📦2.0.1 | 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())
|
| eu-bodysite-1 | error | Condition.bodySite | Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. |
(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionEuCore
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 |
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 |
C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| |||||||||||||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| |||||||||||||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| |||||||||||||||
| subject |
1..1 | Reference(Patient (EU core)) | Who has the condition?
| |||||||||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| Slices for onset[x] |
0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
0..1 | dateTime | Estimated or actual date, date-time, or age
| |||||||||||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
| 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 | 📦2.0.1 | 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 |
0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
| |||||||||
| category |
0..* | CodeableConcept | Category
| |||||||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition
| |||||||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis
| |||||||||
| subject |
1..1 | Reference(Patient (EU core)) | Who has the condition?
| |||||||||
| reference |
0..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||
| onset[x] |
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 |
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 |
0..1 | id | Logical id of this artifact | |||||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||||
| language |
0..1 | code | Language of the condition 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
| 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 | string | 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 |
0..* | Identifier | External Ids for this condition | |||||||||||||||
| clinicalStatus |
C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||||||||||
| verificationStatus |
C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||||||||||||
| category |
0..* | CodeableConcept | Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
| |||||||||||||||
| severity |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| |||||||||||||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient
| |||||||||||||||
| bodySite |
C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1 | ||||||||||||||
| 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 | string | 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 |
0..* | Coding | Code defined by a terminology system | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| subject |
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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||||||||||||
| Slices for onset[x] |
0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||||
| onsetDateTime |
dateTime | |||||||||||||||||
| onsetAge |
Age | |||||||||||||||||
| onsetPeriod |
Period | |||||||||||||||||
| onsetRange |
Range | |||||||||||||||||
| onsetString |
string | |||||||||||||||||
| onset[x]:onsetDateTime |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||||
| abatementDateTime |
dateTime | |||||||||||||||||
| abatementAge |
Age | |||||||||||||||||
| abatementPeriod |
Period | |||||||||||||||||
| abatementRange |
Range | |||||||||||||||||
| abatementString |
string | |||||||||||||||||
| abatement[x]:abatementDateTime |
C | 0..1 | dateTime | When in resolution/remission | ||||||||||||||
| recordedDate |
0..1 | dateTime | Date when the condition record was created | |||||||||||||||
| recorder |
0..1 | Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) | Who recorded the condition | |||||||||||||||
| asserter |
0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who asserted the condition | |||||||||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade Constraints: con-1 | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||
| code |
C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||||
| detail |
C | 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 | 📦2.0.1 | 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())
|
| eu-bodysite-1 | error | Condition.bodySite | Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. |
(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionEuCore
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 2026-10-16
