HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, 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/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: Condition (HDR)

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr Version: 0.0.1-ci
Draft as of 2024-12-20 Computable Name: ConditionEuHdr

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

This profile represents the constraint applied to the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition Condition This profile also imposes the profile Condition (IPS) (2.0.0)
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... subject 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime 0..1 dateTime When in resolution/remission
... stage 0..* BackboneElement Stage/grade
.... summary 0..1 CodeableConcept Most recent Stage Group
.... assessment 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS) (2.0.0)
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
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... text 0..1 Narrative Text summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
ele-1: All FHIR elements must have a @value or children
... identifier Σ 0..* Identifier External Ids for this condition
ele-1: All FHIR elements must have a @value or children
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required)
ele-1: All FHIR elements must have a @value or children
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
ele-1: All FHIR elements must have a @value or children
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ele-1: All FHIR elements must have a @value or children
.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
ele-1: All FHIR elements must have a @value or children
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
ele-1: All FHIR elements must have a @value or children
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
ele-1: All FHIR elements must have a @value or children
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient


ele-1: All FHIR elements must have a @value or children
... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
ele-1: All FHIR elements must have a @value or children
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
ele-1: All FHIR elements must have a @value or children
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
ele-1: All FHIR elements must have a @value or children
... stage C 0..* BackboneElement Stage/grade
con-1: Stage SHALL have summary or assessment
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).


ele-1: All FHIR elements must have a @value or children
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
ele-1: All FHIR elements must have a @value or children
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).


ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation Additional information about the Condition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS) (2.0.0)
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
.... 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
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... subject Σ 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 ΣC 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] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$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 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
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 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
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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
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()

This structure is derived from Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.category
  • The element 1 is sliced based on the value of Condition.onset[x]
  • The element 1 is sliced based on the value of Condition.abatement[x]

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition Condition This profile also imposes the profile Condition (IPS) (2.0.0)
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
... identifier 0..* Identifier External Ids for this condition
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... subject 1..1 Reference(Patient (EU core)) Who has the condition?
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime 0..1 dateTime When in resolution/remission
... stage 0..* BackboneElement Stage/grade
.... summary 0..1 CodeableConcept Most recent Stage Group
.... assessment 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Staging system used.
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS) (2.0.0)
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
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... text 0..1 Narrative Text summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
ele-1: All FHIR elements must have a @value or children
... identifier Σ 0..* Identifier External Ids for this condition
ele-1: All FHIR elements must have a @value or children
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required)
ele-1: All FHIR elements must have a @value or children
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
ele-1: All FHIR elements must have a @value or children
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


ele-1: All FHIR elements must have a @value or children
.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
ele-1: All FHIR elements must have a @value or children
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
ele-1: All FHIR elements must have a @value or children
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
ele-1: All FHIR elements must have a @value or children
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient


ele-1: All FHIR elements must have a @value or children
... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient (EU core)) Who has the condition?
ele-1: All FHIR elements must have a @value or children
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for onset[x] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
ele-1: All FHIR elements must have a @value or children
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
ele-1: All FHIR elements must have a @value or children
... stage C 0..* BackboneElement Stage/grade
con-1: Stage SHALL have summary or assessment
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... summary C 0..1 CodeableConcept Most recent Stage Group
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).


ele-1: All FHIR elements must have a @value or children
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
ele-1: All FHIR elements must have a @value or children
.... type 0..1 CodeableConcept Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).


ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation Additional information about the Condition
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
This profile also imposes the profile Condition (IPS) (2.0.0)
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
.... 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
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
..... value[x] 1..1 Reference(Body structure: Laboratory) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: ConditionVerificationStatus (required)
... Slices for category 0..* CodeableConceptIPS(2.0.0) category codes
Slice: Unordered, Open by value:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:poa 0..1 CodeableConcept POA, HAC, NA
Binding: Condition Present on Admission (POA) Value Set (required)
.... category:treated 0..1 CodeableConcept Treated or untreated
Binding: Treatment Class Value Set (required)
... severity 0..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition/DiagnosisSeverity (preferred)
... code 1..1 CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient

... bodySite 0..* CodeableConceptIPS(2.0.0) Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (preferred)
... subject Σ 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 ΣC 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] Σ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices for abatement[x] C 0..1 When in resolution/remission
Slice: Unordered, Open by type:$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 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
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 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
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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.category:poarequiredPoaIndicatorHdrVS
http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr
from this IG
Condition.category:treatedrequiredTreatedProblemHdrVS
http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr
from this IG
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.codepreferredConditionHdrVS
http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr
from this IG
Condition.bodySitepreferredSNOMEDCTBodyStructures
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()

This structure is derived from Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.category
  • The element 1 is sliced based on the value of Condition.onset[x]
  • The element 1 is sliced based on the value of Condition.abatement[x]

 

Other representations of profile: CSV, Excel, Schematron