HL7 Europe Hospital Discharge Report
0.1.0-ci-build - ci-build
150
HL7 Europe Hospital Discharge Report
0.1.0-ci-build - 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 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/condition-obl-eu-hdr | Version: 0.1.0-ci-build | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: ConditionEuHdrObligation | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
||||
This profile defines obligations for 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).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) Constraints: con-3, con-4, con-5 | ||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
 text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||
  Slices for extension |
Content/Rules for all slices | |||||||||
   extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
   extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||
  value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
OΣ | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||
| verificationStatus |
?!OΣC | 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||||
 category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
| ||||||
 category:treated |
O | 0..1 | CodeableConcept | Treated or untreated Binding: eHDSI Treatment Class (required)
| ||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||
| bodySite |
OΣ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
 reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| Slices for onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |||||||
| onsetDateTime |
dateTime | |||||||||
| onsetAge |
Age | |||||||||
| onsetPeriod |
Period | |||||||||
| onsetRange |
Range | |||||||||
| onsetString |
string | |||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
 Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Closed by type:$this | |||||||
| abatementDateTime |
dateTime | |||||||||
| abatementAge |
Age | |||||||||
| abatementPeriod |
Period | |||||||||
| abatementRange |
Range | |||||||||
| abatementString |
string | |||||||||
| abatement[x]:abatementDateTime |
OC | 0..1 | dateTime | When in resolution/remission
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.category:poa | Base | required | eHDSI Condition Present On Admission | 📦0.1.0-ci-build | This IG |
| Condition.category:treated | Base | required | eHDSI Treatment Class | 📦0.1.0-ci-build | This IG |
| Condition.code | Base | preferred | Condition Value Set | 📦0.1.0-ci-build | This IG |
| Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionEuHdr
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) | |||||||
 text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||
| identifier |
O | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
O | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved
| ||||||
| verificationStatus |
O | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
| ||||||
| Slices for category |
Content/Rules for all slices | |||||||||
| category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA
| ||||||
| category:treated |
O | 0..1 | CodeableConcept | Treated or untreated
| ||||||
| code |
O | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis
| ||||||
| bodySite |
O | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant
| ||||||
| subject |
O | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
| Slices for onset[x] |
Content/Rules for all slices | |||||||||
| onset[x]:onsetDateTime |
O | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
| Slices for abatement[x] |
Content/Rules for all slices | |||||||||
| abatement[x]:abatementDateTime |
O | 0..1 | dateTime | When in resolution/remission
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) Constraints: con-3, con-4, con-5 | ||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
OΣ | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||
| verificationStatus |
?!OΣC | 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||||
| category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
| ||||||
| category:treated |
O | 0..1 | CodeableConcept | Treated or untreated Binding: eHDSI Treatment Class (required)
| ||||||
| severity |
0..1 | CodeableConceptIPS(2.0.0) | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred) | |||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||
| bodySite |
OΣ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
| Slices for onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |||||||
| onsetDateTime |
dateTime | |||||||||
| onsetAge |
Age | |||||||||
| onsetPeriod |
Period | |||||||||
| onsetRange |
Range | |||||||||
| onsetString |
string | |||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Closed by type:$this | |||||||
| abatementDateTime |
dateTime | |||||||||
| abatementAge |
Age | |||||||||
| abatementPeriod |
Period | |||||||||
| abatementRange |
Range | |||||||||
| abatementString |
string | |||||||||
| abatement[x]:abatementDateTime |
OC | 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 Constraints: con-1 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| summary |
C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
| note |
0..* | Annotation | Additional information about the Condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.category:poa | Base | required | eHDSI Condition Present On Admission | 📦0.1.0-ci-build | This IG |
| Condition.category:treated | Base | required | eHDSI Treatment Class | 📦0.1.0-ci-build | This IG |
| Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
| Condition.code | Base | preferred | Condition Value Set | 📦0.1.0-ci-build | This IG |
| Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Condition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std. |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionEuHdr
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) Constraints: con-3, con-4, con-5 | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
OΣ | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||
| verificationStatus |
?!OΣC | 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||||
| category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
| ||||||
| category:treated |
O | 0..1 | CodeableConcept | Treated or untreated Binding: eHDSI Treatment Class (required)
| ||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||
| bodySite |
OΣ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| Slices for onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |||||||
| onsetDateTime |
dateTime | |||||||||
| onsetAge |
Age | |||||||||
| onsetPeriod |
Period | |||||||||
| onsetRange |
Range | |||||||||
| onsetString |
string | |||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Closed by type:$this | |||||||
| abatementDateTime |
dateTime | |||||||||
| abatementAge |
Age | |||||||||
| abatementPeriod |
Period | |||||||||
| abatementRange |
Range | |||||||||
| abatementString |
string | |||||||||
| abatement[x]:abatementDateTime |
OC | 0..1 | dateTime | When in resolution/remission
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.category:poa | Base | required | eHDSI Condition Present On Admission | 📦0.1.0-ci-build | This IG |
| Condition.category:treated | Base | required | eHDSI Treatment Class | 📦0.1.0-ci-build | This IG |
| Condition.code | Base | preferred | Condition Value Set | 📦0.1.0-ci-build | This IG |
| Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ConditionEuHdr
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) | |||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||
| identifier |
O | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
O | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved
| ||||||
| verificationStatus |
O | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
| ||||||
| Slices for category |
Content/Rules for all slices | |||||||||
| category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA
| ||||||
| category:treated |
O | 0..1 | CodeableConcept | Treated or untreated
| ||||||
| code |
O | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis
| ||||||
| bodySite |
O | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant
| ||||||
| subject |
O | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
| Slices for onset[x] |
Content/Rules for all slices | |||||||||
| onset[x]:onsetDateTime |
O | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
| Slices for abatement[x] |
Content/Rules for all slices | |||||||||
| abatement[x]:abatementDateTime |
O | 0..1 | dateTime | When in resolution/remission
| ||||||
| Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) Constraints: con-3, con-4, con-5 | ||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
| extension:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite" | |||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
OΣ | 0..* | Identifier | External Ids for this condition
| ||||||
| clinicalStatus |
?!OΣC | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
| ||||||
| verificationStatus |
?!OΣC | 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:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||||
| category:poa |
O | 0..1 | CodeableConcept | POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
| ||||||
| category:treated |
O | 0..1 | CodeableConcept | Treated or untreated Binding: eHDSI Treatment Class (required)
| ||||||
| severity |
0..1 | CodeableConceptIPS(2.0.0) | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred) | |||||||
| code |
OΣ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: Condition Value Set (preferred): Valueset to describe the actual problem experienced by the patient
| ||||||
| bodySite |
OΣ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred)
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who has the condition?
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
| Slices for onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this | |||||||
| onsetDateTime |
dateTime | |||||||||
| onsetAge |
Age | |||||||||
| onsetPeriod |
Period | |||||||||
| onsetRange |
Range | |||||||||
| onsetString |
string | |||||||||
| onset[x]:onsetDateTime |
OΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||
| Slices for abatement[x] |
C | 0..1 | When in resolution/remission Slice: Unordered, Closed by type:$this | |||||||
| abatementDateTime |
dateTime | |||||||||
| abatementAge |
Age | |||||||||
| abatementPeriod |
Period | |||||||||
| abatementRange |
Range | |||||||||
| abatementString |
string | |||||||||
| abatement[x]:abatementDateTime |
OC | 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 Constraints: con-1 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| summary |
C | 0..1 | CodeableConcept | Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
| note |
0..* | Annotation | Additional information about the Condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.category:poa | Base | required | eHDSI Condition Present On Admission | 📦0.1.0-ci-build | This IG |
| Condition.category:treated | Base | required | eHDSI Treatment Class | 📦0.1.0-ci-build | This IG |
| Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
| Condition.code | Base | preferred | Condition Value Set | 📦0.1.0-ci-build | This IG |
| Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Condition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std. |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionEuHdr
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#0.1.0-ci-build based on FHIR 4.0.1. Generated 2026-01-13
