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

• Content
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Resource Profile: Condition (HDR)

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:

• Use this Resource Profile: Bundle (HDR)
• Refer to this Resource Profile: Care Plan (HDR), Composition (HDR), DeviceUseStatement (HDR) and Procedure (HDR)

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
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
extension: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 (EU base))	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Ids for this condition ele-1: All FHIR elements must have a @value or children
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) ele-1: All FHIR elements must have a @value or children
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required) ele-1: All FHIR elements must have a @value or children
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children
bodySite	Σ	0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient (EU core))	Who has the condition? ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.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 Condition

Name	Flags	Card.	Type	Description & Constraints
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
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x]		1..1	Reference(Body structure (EU base))	Value of extension
identifier		0..*	Identifier	External Ids for this condition
clinicalStatus		0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus		0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	category codes Slice: Unordered, Open by value:$this
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required)
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code		1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
bodySite		0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
subject		1..1	Reference(Patient (EU core))	Who has the condition?
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure (EU base))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required)
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
bodySite	Σ	0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
subject	Σ	1..1	Reference(Patient (EU core))	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Body structure (EU base) (http://hl7.eu/fhir/base/StructureDefinition/BodyStructure-eu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/bodySite

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]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
extension: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 (EU base))	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Ids for this condition ele-1: All FHIR elements must have a @value or children
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) ele-1: All FHIR elements must have a @value or children
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required) ele-1: All FHIR elements must have a @value or children
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children
bodySite	Σ	0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient (EU core))	Who has the condition? ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.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()

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
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
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x]		1..1	Reference(Body structure (EU base))	Value of extension
identifier		0..*	Identifier	External Ids for this condition
clinicalStatus		0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus		0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	category codes Slice: Unordered, Open by value:$this
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required)
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code		1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
bodySite		0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
subject		1..1	Reference(Patient (EU core))	Who has the condition?
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure (EU base))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConceptIPS(2.0.0)	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS(2.0.0)	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConcept	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		0..1	CodeableConcept	Treated or untreated Binding: Treatment Class Value Set (required)
severity		0..1	CodeableConceptIPS(2.0.0)	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code	Σ	1..1	CodeableConceptIPS(2.0.0)	Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
bodySite	Σ	0..*	CodeableConceptIPS(2.0.0)	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
subject	Σ	1..1	Reference(Patient (EU core))	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:poa	required	PoaIndicatorHdrVS http://hl7.eu/fhir/hdr/ValueSet/poa-indicator-eu-hdr from this IG
Condition.category:treated	required	TreatedProblemHdrVS http://hl7.eu/fhir/hdr/ValueSet/treated-problem-eu-hdr from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	ConditionHdrVS http://hl7.eu/fhir/hdr/ValueSet/condition-eu-hdr from this IG
Condition.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Body structure (EU base) (http://hl7.eu/fhir/base/StructureDefinition/BodyStructure-eu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/bodySite

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