PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 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 1.0.0 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: 1.0.0
Active as of 2025-10-16 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

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.code Base required Gvhd condition 📦1.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

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)

Path Status Usage ValueSet Version Source
Condition.code Base required Gvhd condition 📦1.0.0 This IG
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 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

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required Gvhd condition 📦1.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 This IG
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.

Constraints

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()

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

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.code Base required Gvhd condition 📦1.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

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)

Path Status Usage ValueSet Version Source
Condition.code Base required Gvhd condition 📦1.0.0 This IG
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 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

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required Gvhd condition 📦1.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.summary.​coding:acute Base required Acute Gvhd Grade 📦1.0.0 This IG
Condition.stage.summary.​coding:chronic Base required Chronic Gvhd condition 📦1.0.0 This IG
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.

Constraints

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()

 

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