PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: Condition: GvHD

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-gvhd-eu-pcsp Version: 0.2.0
Draft as of 2025-09-03 Computable Name: ConditionGvhdPcsp

This profile defines how to represent Graft versus host disease (GvHD) in HL7 FHIR for the purpose of the PanCareSurPass project.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
From the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
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.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG

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()

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition Condition
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite 0..* CodeableConcept Organs affected by GVHD
... encounter 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission
... stage
.... summary
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 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, usually assessed formally
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 Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)
..... text Σ 0..1 string Plain text representation of the concept
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
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

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|4.0.1
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
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.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] C 0..1 dateTime When in resolution/remission
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
From the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
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.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG

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()

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition Condition
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite 0..* CodeableConcept Organs affected by GVHD
... encounter 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 0..1 dateTime When in resolution/remission
... stage
.... summary
..... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.stage.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedPrimaryCancerCondition 1..1 (Complex) Related Primary Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Condition: Primary Cancer) Value of extension
.... extension:conditionDueTo 1..1 (Complex) SCT procedure causing this GcDH
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
..... value[x] 1..1 Reference(Procedure: Stem Cell Transplantation) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!ΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Gvhd condition (required)
... bodySite Σ 0..* CodeableConcept Organs affected by GVHD
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject Σ 1..1 Reference(Patient: PCSP) Who has the condition?
... encounter Σ 0..1 Reference(Encounter | Encounter: Treatment Center) Encounter created as part of
... onset[x] Σ 0..1 dateTime Estimated or actual date, date-time, or age
... abatement[x] 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, usually assessed formally
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 Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:acute Σ 0..1 Coding Code defined by a terminology system
Binding: Acute Gvhd Grade (required)
...... coding:chronic Σ 0..1 Coding Code defined by a terminology system
Binding: Chronic Gvhd condition (required)
..... text Σ 0..1 string Plain text representation of the concept
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
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

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|4.0.1
From the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
From the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
From the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
From the FHIR Standard
Condition.coderequiredSctGvhdType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-type-eu-pcsp
From this IG
Condition.bodySiteexampleSNOMEDCTBodyStructures
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.summary.coding:acuterequiredSctAcuteGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-acute-grade-eu-pcsp
From this IG
Condition.stage.summary.coding:chronicrequiredSctChronicGvhdGrade
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-Gvhd-chronic-grade-eu-pcsp
From this IG
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()

 

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