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PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build -

PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build

PROTECT-CHILD Pediatric Transplant Data Implementation Guide, published by Protect Child. 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/protect-child/ and changes regularly. See the Directory of published versions

Resource Profile: ClinicalEvent - Detailed Descriptions

Draft as of 2026-09-28

Definitions for the clinical-event resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

ShortDetailed information about conditions, problems or diagnoses
Control0..*
Is Modifierfalse
Summaryfalse
Invariantscon-3: 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: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
pc-event-1: An episode recorded as resolved SHALL carry the date it ended. (clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists())
pc-event-2: An episode SHALL NOT end before it started. ((onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime))
pc-event-3: The visit at which the episode ended SHALL NOT be the visit at which it started. (extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference)
pc-event-4: An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. (clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists())
con-3: 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: 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: 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())
2. Condition.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Condition.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Condition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Condition.extension:endVisit
    Slice NameendVisit
    Definition

    The Visit at which the END row of this clinical episode was recorded. Condition.encounter holds the visit the episode was first recorded at; without this, folding the two DM rows into one Condition would lose the second visit link.

    ShortThe Visit at which the END row was recorded
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Clinical event end visit) (Extension Type: Reference(Visit))
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Condition.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Condition.identifier
    Definition

    Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

    Shortclinical_event_id — one per DM row folded in (START, and END when ended)External Ids for this condition
    Comments

    This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Condition.identifier.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..1
    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. Condition.identifier.system
    Definition

    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    ShortThe namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control10..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    Fixed Valuehttps://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
    ExampleGeneral: http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Condition.identifier.value
    Definition

    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    ShortThe value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control10..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    ExampleGeneral: 123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Condition.clinicalStatus
    Definition

    The clinical status of the condition.

    Short#active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)active | recurrence | relapse | inactive | remission | resolved
    Comments

    The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

    Control0..1
    This element is affected by the following invariants: con-3, con-4, con-5
    BindingThe codes SHALL be taken from ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
    (required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

    The clinical status of the condition or diagnosis.

    TypeCodeableConcept
    Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Condition.verificationStatus
    Definition

    The verification status to support the clinical status of the condition.

    Short#refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmedunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Comments

    verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

    Control0..1
    This element is affected by the following invariants: con-3, con-5
    BindingThe codes SHALL be taken from ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

    The verification status to support or decline the clinical status of the condition or diagnosis.

    TypeCodeableConcept
    Is Modifiertrue because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Condition.code
    Definition

    Identification of the condition, problem or diagnosis.

    Shortclinical_event_type_id — type of clinical eventIdentification of the condition, problem or diagnosis
    Control10..1
    BindingThe codes SHALL be taken from For example codes, see Clinical Event Type ValueSethttp://hl7.org/fhir/ValueSet/condition-code|4.0.1
    (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/clinical-event-type-vs)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    0..1 to account for primarily narrative only resources.

    Alternate Namestype
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Condition.subject
    Definition

    Indicates the patient or group who the condition record is associated with.

    ShortTransplant recipientWho has the condition?
    Control1..1
    TypeReference(Transplant Recipient, Patient, Group)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Group is typically used for veterinary or public health use cases.

    Alternate Namespatient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Condition.encounter
    Definition

    The Encounter during which this Condition was created or to which the creation of this record is tightly associated.

    Shortvisit_id — the Visit at which the episode was first recorded (the START row)Encounter created as part of
    Comments

    This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

    Control10..1
    TypeReference(Visit, Encounter)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Condition.onset[x]
    Definition

    Estimated or actual date or date-time the condition began, in the opinion of the clinician.

    ShortEstimated or actual date, date-time, or age
    Comments

    Age is generally used when the patient reports an age at which the Condition began to occur.

    Control0..1
    TypeChoice of: dateTime, Age, Period, Range, string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 30. Condition.onset[x]:onsetDateTime
      Slice NameonsetDateTime
      Definition

      Estimated or actual date or date-time the condition began, in the opinion of the clinician.

      ShortDate this episode started (START row's visit date)Estimated or actual date, date-time, or age
      Comments

      Age is generally used when the patient reports an age at which the Condition began to occur.

      Control0..1
      TypedateTime, string, Period, Range, Age
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Condition.abatement[x]
      Definition

      The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

      ShortWhen in resolution/remission
      Comments

      There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

      Control0..1
      This element is affected by the following invariants: con-4
      TypeChoice of: dateTime, Age, Period, Range, string
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 34. Condition.abatement[x]:abatementDateTime
        Slice NameabatementDateTime
        Definition

        The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

        ShortDate this episode ended (END row's visit date)When in resolution/remission
        Comments

        There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

        Control0..1
        This element is affected by the following invariants: con-4
        TypedateTime, string, Period, Range, Age
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Condition.evidence
        Definition

        Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

        Shortvascular_complication_type — coded vascular complication (if present)Supporting evidence
        Comments

        The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

        Control0..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantscon-2: evidence SHALL have code or details (code.exists() or detail.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        con-2: evidence SHALL have code or details (code.exists() or detail.exists())
        38. Condition.evidence.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        40. Condition.evidence.code
        Definition

        A manifestation or symptom that led to the recording of this condition.

        ShortManifestation/symptom
        Control0..1*
        This element is affected by the following invariants: con-2
        BindingThe codes SHALL be taken from For example codes, see Vascular Complication Type ValueSethttp://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1
        (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/vascular-complication-type-vs)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. Condition.note
        Definition

        Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

        ShortAdditional information about the Condition
        Control0..*
        TypeAnnotation
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Condition.note. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ author.ofType(string)
        • 44. Condition.note:cause_death
          Slice Namecause_death
          Definition

          Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

          Shortcause_death — free-text cause of deathAdditional information about the Condition
          Control0..1*
          TypeAnnotation
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Condition.note:cause_death.author[x]
          Definition

          The individual responsible for making the annotation.

          ShortIndividual responsible for the annotation
          Comments

          Organization is used when there's no need for specific attribution as to who made the comment.

          Control0..1
          TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 48. Condition.note:cause_death.author[x]:authorString
            Slice NameauthorString
            Definition

            The individual responsible for making the annotation.

            ShortIndividual responsible for the annotation
            Comments

            Organization is used when there's no need for specific attribution as to who made the comment.

            Control0..1
            Typestring, Reference(Practitioner, Patient, RelatedPerson, Organization)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Fixed Valuecause_death
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. Condition.note:cause_death.text
            Definition

            The text of the annotation in markdown format.

            ShortThe annotation - text content (as markdown)
            Control1..1
            Typemarkdown
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. Condition.note:specify_kidney_rejection_episode
            Slice Namespecify_kidney_rejection_episode
            Definition

            Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

            Shortspecify_kidney_rejection_episode — rejection episode specificationAdditional information about the Condition
            Control0..1*
            TypeAnnotation
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. Condition.note:specify_kidney_rejection_episode.author[x]
            Definition

            The individual responsible for making the annotation.

            ShortIndividual responsible for the annotation
            Comments

            Organization is used when there's no need for specific attribution as to who made the comment.

            Control0..1
            TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • type @ $this
            • 56. Condition.note:specify_kidney_rejection_episode.author[x]:authorString
              Slice NameauthorString
              Definition

              The individual responsible for making the annotation.

              ShortIndividual responsible for the annotation
              Comments

              Organization is used when there's no need for specific attribution as to who made the comment.

              Control0..1
              Typestring, Reference(Practitioner, Patient, RelatedPerson, Organization)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Fixed Valuespecify_kidney_rejection_episode
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Condition.note:specify_kidney_rejection_episode.text
              Definition

              The text of the annotation in markdown format.

              ShortThe annotation - text content (as markdown)
              Control1..1
              Typemarkdown
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. Condition.note:previous_urological_intervention
              Slice Nameprevious_urological_intervention
              Definition

              Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

              Shortprevious_urological_intervention — prior urological interventionAdditional information about the Condition
              Control0..1*
              TypeAnnotation
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. Condition.note:previous_urological_intervention.author[x]
              Definition

              The individual responsible for making the annotation.

              ShortIndividual responsible for the annotation
              Comments

              Organization is used when there's no need for specific attribution as to who made the comment.

              Control0..1
              TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • type @ $this
              • 64. Condition.note:previous_urological_intervention.author[x]:authorString
                Slice NameauthorString
                Definition

                The individual responsible for making the annotation.

                ShortIndividual responsible for the annotation
                Comments

                Organization is used when there's no need for specific attribution as to who made the comment.

                Control0..1
                Typestring, Reference(Practitioner, Patient, RelatedPerson, Organization)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Fixed Valueprevious_urological_intervention
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Condition.note:previous_urological_intervention.text
                Definition

                The text of the annotation in markdown format.

                ShortThe annotation - text content (as markdown)
                Control1..1
                Typemarkdown
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Condition.note:underlying_prothrombotic_disorders
                Slice Nameunderlying_prothrombotic_disorders
                Definition

                Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                Shortunderlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)Additional information about the Condition
                Control0..1*
                TypeAnnotation
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Condition.note:underlying_prothrombotic_disorders.author[x]
                Definition

                The individual responsible for making the annotation.

                ShortIndividual responsible for the annotation
                Comments

                Organization is used when there's no need for specific attribution as to who made the comment.

                Control0..1
                TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • type @ $this
                • 72. Condition.note:underlying_prothrombotic_disorders.author[x]:authorString
                  Slice NameauthorString
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  Typestring, Reference(Practitioner, Patient, RelatedPerson, Organization)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Fixed Valueunderlying_prothrombotic_disorders
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. Condition.note:underlying_prothrombotic_disorders.text
                  Definition

                  The text of the annotation in markdown format.

                  ShortThe annotation - text content (as markdown)
                  Control1..1
                  Typemarkdown
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. Condition.note:kidney_biopsy
                  Slice Namekidney_biopsy
                  Definition

                  Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                  Shortkidney_biopsy — kidney biopsy findings (free text)Additional information about the Condition
                  Control0..1*
                  TypeAnnotation
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. Condition.note:kidney_biopsy.author[x]
                  Definition

                  The individual responsible for making the annotation.

                  ShortIndividual responsible for the annotation
                  Comments

                  Organization is used when there's no need for specific attribution as to who made the comment.

                  Control0..1
                  TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • type @ $this
                  • 80. Condition.note:kidney_biopsy.author[x]:authorString
                    Slice NameauthorString
                    Definition

                    The individual responsible for making the annotation.

                    ShortIndividual responsible for the annotation
                    Comments

                    Organization is used when there's no need for specific attribution as to who made the comment.

                    Control0..1
                    Typestring, Reference(Practitioner, Patient, RelatedPerson, Organization)
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Fixed Valuekidney_biopsy
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    82. Condition.note:kidney_biopsy.text
                    Definition

                    The text of the annotation in markdown format.

                    ShortThe annotation - text content (as markdown)
                    Control1..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. Condition
                    Invariantspc-event-1: An episode recorded as resolved SHALL carry the date it ended. (clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists())
                    pc-event-2: An episode SHALL NOT end before it started. ((onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime))
                    pc-event-3: The visit at which the episode ended SHALL NOT be the visit at which it started. (extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference)
                    pc-event-4: An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. (clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists())
                    2. Condition.extension
                    SlicingThis element introduces a set of slices on Condition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 4. Condition.extension:endVisit
                      Slice NameendVisit
                      ShortThe Visit at which the END row was recorded
                      Control0..1
                      TypeExtension(Clinical event end visit) (Extension Type: Reference(Visit))
                      Must Supporttrue
                      6. Condition.identifier
                      Shortclinical_event_id — one per DM row folded in (START, and END when ended)
                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control1..?
                      Must Supporttrue
                      8. Condition.identifier.system
                      Control1..?
                      Fixed Valuehttps://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
                      10. Condition.identifier.value
                      Control1..?
                      12. Condition.clinicalStatus
                      Short#active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
                      Must Supporttrue
                      14. Condition.verificationStatus
                      Short#refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
                      Must Supporttrue
                      16. Condition.code
                      Shortclinical_event_type_id — type of clinical event
                      Control1..?
                      BindingThe codes SHALL be taken from Clinical Event Type ValueSet
                      (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/clinical-event-type-vs)
                      Must Supporttrue
                      18. Condition.subject
                      ShortTransplant recipient
                      TypeReference(Transplant Recipient)
                      Must Supporttrue
                      20. Condition.encounter
                      Shortvisit_id — the Visit at which the episode was first recorded (the START row)
                      Control1..?
                      TypeReference(Visit)
                      Must Supporttrue
                      22. Condition.onset[x]
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Must Supporttrue
                      SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • type @ $this
                      • 24. Condition.onset[x]:onsetDateTime
                        Slice NameonsetDateTime
                        ShortDate this episode started (START row's visit date)
                        Control0..1
                        TypedateTime
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        26. Condition.abatement[x]
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Must Supporttrue
                        SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • type @ $this
                        • 28. Condition.abatement[x]:abatementDateTime
                          Slice NameabatementDateTime
                          ShortDate this episode ended (END row's visit date)
                          Control0..1
                          TypedateTime
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          30. Condition.evidence
                          Shortvascular_complication_type — coded vascular complication (if present)
                          Control0..1
                          Must Supporttrue
                          32. Condition.evidence.code
                          Control0..1
                          BindingThe codes SHALL be taken from Vascular Complication Type ValueSet
                          (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/vascular-complication-type-vs)
                          Must Supporttrue
                          34. Condition.note
                          Must Supporttrue
                          SlicingThis element introduces a set of slices on Condition.note. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ author.ofType(string)
                          • 36. Condition.note:cause_death
                            Slice Namecause_death
                            Shortcause_death — free-text cause of death
                            Control0..1
                            Must Supporttrue
                            38. Condition.note:cause_death.author[x]
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • type @ $this
                            • 40. Condition.note:cause_death.author[x]:authorString
                              Slice NameauthorString
                              Control0..1
                              Typestring
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Fixed Valuecause_death
                              42. Condition.note:specify_kidney_rejection_episode
                              Slice Namespecify_kidney_rejection_episode
                              Shortspecify_kidney_rejection_episode — rejection episode specification
                              Control0..1
                              Must Supporttrue
                              44. Condition.note:specify_kidney_rejection_episode.author[x]
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 46. Condition.note:specify_kidney_rejection_episode.author[x]:authorString
                                Slice NameauthorString
                                Control0..1
                                Typestring
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Fixed Valuespecify_kidney_rejection_episode
                                48. Condition.note:previous_urological_intervention
                                Slice Nameprevious_urological_intervention
                                Shortprevious_urological_intervention — prior urological intervention
                                Control0..1
                                Must Supporttrue
                                50. Condition.note:previous_urological_intervention.author[x]
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • type @ $this
                                • 52. Condition.note:previous_urological_intervention.author[x]:authorString
                                  Slice NameauthorString
                                  Control0..1
                                  Typestring
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Fixed Valueprevious_urological_intervention
                                  54. Condition.note:underlying_prothrombotic_disorders
                                  Slice Nameunderlying_prothrombotic_disorders
                                  Shortunderlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
                                  Control0..1
                                  Must Supporttrue
                                  56. Condition.note:underlying_prothrombotic_disorders.author[x]
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • type @ $this
                                  • 58. Condition.note:underlying_prothrombotic_disorders.author[x]:authorString
                                    Slice NameauthorString
                                    Control0..1
                                    Typestring
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Fixed Valueunderlying_prothrombotic_disorders
                                    60. Condition.note:kidney_biopsy
                                    Slice Namekidney_biopsy
                                    Shortkidney_biopsy — kidney biopsy findings (free text)
                                    Control0..1
                                    Must Supporttrue
                                    62. Condition.note:kidney_biopsy.author[x]
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • type @ $this
                                    • 64. Condition.note:kidney_biopsy.author[x]:authorString
                                      Slice NameauthorString
                                      Control0..1
                                      Typestring
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Fixed Valuekidney_biopsy

                                      Guidance on how to interpret the contents of this table can be foundhere

                                      0. Condition
                                      Definition

                                      A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

                                      ShortDetailed information about conditions, problems or diagnoses
                                      Control0..*
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantscon-3: 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: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                      dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                      pc-event-1: An episode recorded as resolved SHALL carry the date it ended. (clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists())
                                      pc-event-2: An episode SHALL NOT end before it started. ((onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime))
                                      pc-event-3: The visit at which the episode ended SHALL NOT be the visit at which it started. (extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference)
                                      pc-event-4: An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. (clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists())
                                      2. Condition.id
                                      Definition

                                      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                      ShortLogical id of this artifact
                                      Comments

                                      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                      Control0..1
                                      Typeid
                                      Is Modifierfalse
                                      Summarytrue
                                      4. Condition.meta
                                      Definition

                                      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                      ShortMetadata about the resource
                                      Control0..1
                                      TypeMeta
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      6. Condition.implicitRules
                                      Definition

                                      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                      ShortA set of rules under which this content was created
                                      Comments

                                      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                      Control0..1
                                      Typeuri
                                      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      8. Condition.language
                                      Definition

                                      The base language in which the resource is written.

                                      ShortLanguage of the resource content
                                      Comments

                                      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                      Control0..1
                                      BindingThe codes SHOULD be taken from CommonLanguages
                                      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                      A human language.

                                      Additional BindingsPurpose
                                      AllLanguagesMax Binding
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      10. Condition.text
                                      Definition

                                      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                      ShortText summary of the resource, for human interpretation
                                      Comments

                                      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                      Control0..1
                                      TypeNarrative
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesnarrative, html, xhtml, display
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      12. Condition.contained
                                      Definition

                                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                      ShortContained, inline Resources
                                      Comments

                                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                      Control0..*
                                      TypeResource
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesinline resources, anonymous resources, contained resources
                                      14. Condition.extension
                                      Definition

                                      An Extension

                                      ShortExtension
                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Condition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 16. Condition.extension:endVisit
                                        Slice NameendVisit
                                        Definition

                                        The Visit at which the END row of this clinical episode was recorded. Condition.encounter holds the visit the episode was first recorded at; without this, folding the two DM rows into one Condition would lose the second visit link.

                                        ShortThe Visit at which the END row was recorded
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Clinical event end visit) (Extension Type: Reference(Visit))
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        18. Condition.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                        Summaryfalse
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        20. Condition.identifier
                                        Definition

                                        Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

                                        Shortclinical_event_id — one per DM row folded in (START, and END when ended)
                                        Comments

                                        This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                        Control1..*
                                        TypeIdentifier
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        22. Condition.identifier.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        24. Condition.identifier.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Condition.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 26. Condition.identifier.use
                                          Definition

                                          The purpose of this identifier.

                                          Shortusual | official | temp | secondary | old (If known)
                                          Comments

                                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                          Control0..1
                                          BindingThe codes SHALL be taken from IdentifierUse
                                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                          Identifies the purpose for this identifier, if known .

                                          Typecode
                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          28. Condition.identifier.type
                                          Definition

                                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                          ShortDescription of identifier
                                          Comments

                                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                          Control0..1
                                          BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          Allows users to make use of identifiers when the identifier system is not known.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          30. Condition.identifier.system
                                          Definition

                                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                          ShortThe namespace for the identifier value
                                          Comments

                                          Identifier.system is always case sensitive.

                                          Control1..1
                                          Typeuri
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                          Fixed Valuehttps://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
                                          ExampleGeneral: http://www.acme.com/identifiers/patient
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          32. Condition.identifier.value
                                          Definition

                                          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                          ShortThe value that is unique
                                          Comments

                                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                          Control1..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          ExampleGeneral: 123456
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          34. Condition.identifier.period
                                          Definition

                                          Time period during which identifier is/was valid for use.

                                          ShortTime period when id is/was valid for use
                                          Control0..1
                                          TypePeriod
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          36. Condition.identifier.assigner
                                          Definition

                                          Organization that issued/manages the identifier.

                                          ShortOrganization that issued id (may be just text)
                                          Comments

                                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                          Control0..1
                                          TypeReference(Organization)
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          38. Condition.clinicalStatus
                                          Definition

                                          The clinical status of the condition.

                                          Short#active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
                                          Comments

                                          The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

                                          Control0..1
                                          This element is affected by the following invariants: con-3, con-4, con-5
                                          BindingThe codes SHALL be taken from ConditionClinicalStatusCodes
                                          (required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

                                          The clinical status of the condition or diagnosis.

                                          TypeCodeableConcept
                                          Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          40. Condition.verificationStatus
                                          Definition

                                          The verification status to support the clinical status of the condition.

                                          Short#refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
                                          Comments

                                          verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

                                          Control0..1
                                          This element is affected by the following invariants: con-3, con-5
                                          BindingThe codes SHALL be taken from ConditionVerificationStatus
                                          (required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

                                          The verification status to support or decline the clinical status of the condition or diagnosis.

                                          TypeCodeableConcept
                                          Is Modifiertrue because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          42. Condition.category
                                          Definition

                                          A category assigned to the condition.

                                          Shortproblem-list-item | encounter-diagnosis
                                          Comments

                                          The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

                                          Control0..*
                                          BindingUnless not suitable, these codes SHALL be taken from ConditionCategoryCodes
                                          (extensible to http://hl7.org/fhir/ValueSet/condition-category|4.0.1)

                                          A category assigned to the condition.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          44. Condition.severity
                                          Definition

                                          A subjective assessment of the severity of the condition as evaluated by the clinician.

                                          ShortSubjective severity of condition
                                          Comments

                                          Coding of the severity with a terminology is preferred, where possible.

                                          Control0..1
                                          BindingThe codes SHOULD be taken from Condition/DiagnosisSeverity
                                          (preferred to http://hl7.org/fhir/ValueSet/condition-severity|4.0.1)

                                          A subjective assessment of the severity of the condition as evaluated by the clinician.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          46. Condition.code
                                          Definition

                                          Identification of the condition, problem or diagnosis.

                                          Shortclinical_event_type_id — type of clinical event
                                          Control1..1
                                          BindingThe codes SHALL be taken from Clinical Event Type ValueSet
                                          (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/clinical-event-type-vs)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Requirements

                                          0..1 to account for primarily narrative only resources.

                                          Alternate Namestype
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          48. Condition.bodySite
                                          Definition

                                          The anatomical location where this condition manifests itself.

                                          ShortAnatomical location, if relevant
                                          Comments

                                          Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

                                          Control0..*
                                          BindingFor example codes, see SNOMEDCTBodyStructures
                                          (example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

                                          Codes describing anatomical locations. May include laterality.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          50. Condition.subject
                                          Definition

                                          Indicates the patient or group who the condition record is associated with.

                                          ShortTransplant recipient
                                          Control1..1
                                          TypeReference(Transplant Recipient)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Requirements

                                          Group is typically used for veterinary or public health use cases.

                                          Alternate Namespatient
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          52. Condition.encounter
                                          Definition

                                          The Encounter during which this Condition was created or to which the creation of this record is tightly associated.

                                          Shortvisit_id — the Visit at which the episode was first recorded (the START row)
                                          Comments

                                          This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

                                          Control1..1
                                          TypeReference(Visit)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          54. Condition.onset[x]
                                          Definition

                                          Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                                          ShortEstimated or actual date, date-time, or age
                                          Comments

                                          Age is generally used when the patient reports an age at which the Condition began to occur.

                                          Control0..1
                                          TypeChoice of: dateTime, Age, Period, Range, string
                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on Condition.onset[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • type @ $this
                                          • 56. Condition.onset[x]:onsetDateTime
                                            Slice NameonsetDateTime
                                            Definition

                                            Estimated or actual date or date-time the condition began, in the opinion of the clinician.

                                            ShortDate this episode started (START row's visit date)
                                            Comments

                                            Age is generally used when the patient reports an age at which the Condition began to occur.

                                            Control0..1
                                            TypedateTime
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            58. Condition.abatement[x]
                                            Definition

                                            The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

                                            ShortWhen in resolution/remission
                                            Comments

                                            There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

                                            Control0..1
                                            This element is affected by the following invariants: con-4
                                            TypeChoice of: dateTime, Age, Period, Range, string
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Must Support TypesNo must-support rules about the choice of types/profiles
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Condition.abatement[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • type @ $this
                                            • 60. Condition.abatement[x]:abatementDateTime
                                              Slice NameabatementDateTime
                                              Definition

                                              The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

                                              ShortDate this episode ended (END row's visit date)
                                              Comments

                                              There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

                                              Control0..1
                                              This element is affected by the following invariants: con-4
                                              TypedateTime
                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              62. Condition.recordedDate
                                              Definition

                                              The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.

                                              ShortDate record was first recorded
                                              Control0..1
                                              TypedateTime
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              64. Condition.recorder
                                              Definition

                                              Individual who recorded the record and takes responsibility for its content.

                                              ShortWho recorded the condition
                                              Control0..1
                                              TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson)
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              66. Condition.asserter
                                              Definition

                                              Individual who is making the condition statement.

                                              ShortPerson who asserts this condition
                                              Control0..1
                                              TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson)
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              68. Condition.stage
                                              Definition

                                              Clinical stage or grade of a condition. May include formal severity assessments.

                                              ShortStage/grade, usually assessed formally
                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantscon-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              70. Condition.stage.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              72. Condition.stage.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              74. Condition.stage.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              76. Condition.stage.summary
                                              Definition

                                              A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

                                              ShortSimple summary (disease specific)
                                              Control0..1
                                              This element is affected by the following invariants: con-1
                                              BindingFor example codes, see ConditionStage
                                              (example to http://hl7.org/fhir/ValueSet/condition-stage|4.0.1)

                                              Codes describing condition stages (e.g. Cancer stages).

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              78. Condition.stage.assessment
                                              Definition

                                              Reference to a formal record of the evidence on which the staging assessment is based.

                                              ShortFormal record of assessment
                                              Control0..*
                                              This element is affected by the following invariants: con-1
                                              TypeReference(ClinicalImpression, DiagnosticReport, Observation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              80. Condition.stage.type
                                              Definition

                                              The kind of staging, such as pathological or clinical staging.

                                              ShortKind of staging
                                              Control0..1
                                              BindingFor example codes, see ConditionStageType
                                              (example to http://hl7.org/fhir/ValueSet/condition-stage-type|4.0.1)

                                              Codes describing the kind of condition staging (e.g. clinical or pathological).

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              82. Condition.evidence
                                              Definition

                                              Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

                                              Shortvascular_complication_type — coded vascular complication (if present)
                                              Comments

                                              The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

                                              Control0..1
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantscon-2: evidence SHALL have code or details (code.exists() or detail.exists())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              84. Condition.evidence.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              86. Condition.evidence.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              88. Condition.evidence.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              90. Condition.evidence.code
                                              Definition

                                              A manifestation or symptom that led to the recording of this condition.

                                              ShortManifestation/symptom
                                              Control0..1
                                              This element is affected by the following invariants: con-2
                                              BindingThe codes SHALL be taken from Vascular Complication Type ValueSet
                                              (required to https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ValueSet/vascular-complication-type-vs)
                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              92. Condition.evidence.detail
                                              Definition

                                              Links to other relevant information, including pathology reports.

                                              ShortSupporting information found elsewhere
                                              Control0..*
                                              This element is affected by the following invariants: con-2
                                              TypeReference(Resource)
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              94. Condition.note
                                              Definition

                                              Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                              ShortAdditional information about the Condition
                                              Control0..*
                                              TypeAnnotation
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on Condition.note. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ author.ofType(string)
                                              • 96. Condition.note:cause_death
                                                Slice Namecause_death
                                                Definition

                                                Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                Shortcause_death — free-text cause of death
                                                Control0..1
                                                TypeAnnotation
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                98. Condition.note:cause_death.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                100. Condition.note:cause_death.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 102. Condition.note:cause_death.author[x]
                                                  Definition

                                                  The individual responsible for making the annotation.

                                                  ShortIndividual responsible for the annotation
                                                  Comments

                                                  Organization is used when there's no need for specific attribution as to who made the comment.

                                                  Control0..1
                                                  TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • type @ $this
                                                  • 104. Condition.note:cause_death.author[x]:authorString
                                                    Slice NameauthorString
                                                    Definition

                                                    The individual responsible for making the annotation.

                                                    ShortIndividual responsible for the annotation
                                                    Comments

                                                    Organization is used when there's no need for specific attribution as to who made the comment.

                                                    Control0..1
                                                    Typestring
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Fixed Valuecause_death
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    106. Condition.note:cause_death.time
                                                    Definition

                                                    Indicates when this particular annotation was made.

                                                    ShortWhen the annotation was made
                                                    Control0..1
                                                    TypedateTime
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    108. Condition.note:cause_death.text
                                                    Definition

                                                    The text of the annotation in markdown format.

                                                    ShortThe annotation - text content (as markdown)
                                                    Control1..1
                                                    Typemarkdown
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    110. Condition.note:specify_kidney_rejection_episode
                                                    Slice Namespecify_kidney_rejection_episode
                                                    Definition

                                                    Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                    Shortspecify_kidney_rejection_episode — rejection episode specification
                                                    Control0..1
                                                    TypeAnnotation
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    112. Condition.note:specify_kidney_rejection_episode.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    114. Condition.note:specify_kidney_rejection_episode.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 116. Condition.note:specify_kidney_rejection_episode.author[x]
                                                      Definition

                                                      The individual responsible for making the annotation.

                                                      ShortIndividual responsible for the annotation
                                                      Comments

                                                      Organization is used when there's no need for specific attribution as to who made the comment.

                                                      Control0..1
                                                      TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • type @ $this
                                                      • 118. Condition.note:specify_kidney_rejection_episode.author[x]:authorString
                                                        Slice NameauthorString
                                                        Definition

                                                        The individual responsible for making the annotation.

                                                        ShortIndividual responsible for the annotation
                                                        Comments

                                                        Organization is used when there's no need for specific attribution as to who made the comment.

                                                        Control0..1
                                                        Typestring
                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Fixed Valuespecify_kidney_rejection_episode
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        120. Condition.note:specify_kidney_rejection_episode.time
                                                        Definition

                                                        Indicates when this particular annotation was made.

                                                        ShortWhen the annotation was made
                                                        Control0..1
                                                        TypedateTime
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        122. Condition.note:specify_kidney_rejection_episode.text
                                                        Definition

                                                        The text of the annotation in markdown format.

                                                        ShortThe annotation - text content (as markdown)
                                                        Control1..1
                                                        Typemarkdown
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        124. Condition.note:previous_urological_intervention
                                                        Slice Nameprevious_urological_intervention
                                                        Definition

                                                        Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                        Shortprevious_urological_intervention — prior urological intervention
                                                        Control0..1
                                                        TypeAnnotation
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        126. Condition.note:previous_urological_intervention.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        128. Condition.note:previous_urological_intervention.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 130. Condition.note:previous_urological_intervention.author[x]
                                                          Definition

                                                          The individual responsible for making the annotation.

                                                          ShortIndividual responsible for the annotation
                                                          Comments

                                                          Organization is used when there's no need for specific attribution as to who made the comment.

                                                          Control0..1
                                                          TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • type @ $this
                                                          • 132. Condition.note:previous_urological_intervention.author[x]:authorString
                                                            Slice NameauthorString
                                                            Definition

                                                            The individual responsible for making the annotation.

                                                            ShortIndividual responsible for the annotation
                                                            Comments

                                                            Organization is used when there's no need for specific attribution as to who made the comment.

                                                            Control0..1
                                                            Typestring
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Fixed Valueprevious_urological_intervention
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            134. Condition.note:previous_urological_intervention.time
                                                            Definition

                                                            Indicates when this particular annotation was made.

                                                            ShortWhen the annotation was made
                                                            Control0..1
                                                            TypedateTime
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            136. Condition.note:previous_urological_intervention.text
                                                            Definition

                                                            The text of the annotation in markdown format.

                                                            ShortThe annotation - text content (as markdown)
                                                            Control1..1
                                                            Typemarkdown
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            138. Condition.note:underlying_prothrombotic_disorders
                                                            Slice Nameunderlying_prothrombotic_disorders
                                                            Definition

                                                            Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                            Shortunderlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
                                                            Control0..1
                                                            TypeAnnotation
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            140. Condition.note:underlying_prothrombotic_disorders.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            142. Condition.note:underlying_prothrombotic_disorders.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 144. Condition.note:underlying_prothrombotic_disorders.author[x]
                                                              Definition

                                                              The individual responsible for making the annotation.

                                                              ShortIndividual responsible for the annotation
                                                              Comments

                                                              Organization is used when there's no need for specific attribution as to who made the comment.

                                                              Control0..1
                                                              TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • type @ $this
                                                              • 146. Condition.note:underlying_prothrombotic_disorders.author[x]:authorString
                                                                Slice NameauthorString
                                                                Definition

                                                                The individual responsible for making the annotation.

                                                                ShortIndividual responsible for the annotation
                                                                Comments

                                                                Organization is used when there's no need for specific attribution as to who made the comment.

                                                                Control0..1
                                                                Typestring
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Fixed Valueunderlying_prothrombotic_disorders
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                148. Condition.note:underlying_prothrombotic_disorders.time
                                                                Definition

                                                                Indicates when this particular annotation was made.

                                                                ShortWhen the annotation was made
                                                                Control0..1
                                                                TypedateTime
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                150. Condition.note:underlying_prothrombotic_disorders.text
                                                                Definition

                                                                The text of the annotation in markdown format.

                                                                ShortThe annotation - text content (as markdown)
                                                                Control1..1
                                                                Typemarkdown
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                152. Condition.note:kidney_biopsy
                                                                Slice Namekidney_biopsy
                                                                Definition

                                                                Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

                                                                Shortkidney_biopsy — kidney biopsy findings (free text)
                                                                Control0..1
                                                                TypeAnnotation
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                154. Condition.note:kidney_biopsy.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                156. Condition.note:kidney_biopsy.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Condition.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 158. Condition.note:kidney_biopsy.author[x]
                                                                  Definition

                                                                  The individual responsible for making the annotation.

                                                                  ShortIndividual responsible for the annotation
                                                                  Comments

                                                                  Organization is used when there's no need for specific attribution as to who made the comment.

                                                                  Control0..1
                                                                  TypeChoice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on Condition.note.author[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • type @ $this
                                                                  • 160. Condition.note:kidney_biopsy.author[x]:authorString
                                                                    Slice NameauthorString
                                                                    Definition

                                                                    The individual responsible for making the annotation.

                                                                    ShortIndividual responsible for the annotation
                                                                    Comments

                                                                    Organization is used when there's no need for specific attribution as to who made the comment.

                                                                    Control0..1
                                                                    Typestring
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Fixed Valuekidney_biopsy
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    162. Condition.note:kidney_biopsy.time
                                                                    Definition

                                                                    Indicates when this particular annotation was made.

                                                                    ShortWhen the annotation was made
                                                                    Control0..1
                                                                    TypedateTime
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    164. Condition.note:kidney_biopsy.text
                                                                    Definition

                                                                    The text of the annotation in markdown format.

                                                                    ShortThe annotation - text content (as markdown)
                                                                    Control1..1
                                                                    Typemarkdown
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))