hl7-eu-logo
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 2026-06-05

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($this='problem-list-item').empty())
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($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.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())
6. 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_idExternal 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..1*
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()))
8. 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()))
10. 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/clinical-event-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()))
12. 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()))
14. Condition.clinicalStatus
Definition

The clinical status of the condition.

Shortevent_phase — #active = START visit; #resolved = END visitactive | 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.

Control10..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()))
16. Condition.verificationStatus
Definition

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

Shortunconfirmed | 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.
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. 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()))
20. 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()))
22. Condition.encounter
Definition

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

Shortvisit_id — Visit at which this event phase was recordedEncounter 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()))
24. 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
  • 26. 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 event started (START 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
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. 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
    • 30. 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 event ended (END 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
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. 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())
      34. 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())
      36. 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()))
      38. 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 @ authorString
      • 40. 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()))
        42. 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
        • 44. 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()))
          46. 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()))
          48. 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 (Kidney only)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()))
          50. 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
          • 52. 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()))
            54. 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()))
            56. 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 (Urological only)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()))
            58. 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
            • 60. 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()))
              62. 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()))
              64. 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()))
              66. 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
              • 68. 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()))
                70. 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()))
                72. 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()))
                74. 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
                • 76. 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()))
                  78. 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
                  2. Condition.identifier
                  Shortclinical_event_id
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control1..1
                  Must Supporttrue
                  4. Condition.identifier.system
                  Control1..?
                  Fixed Valuehttps://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/clinical-event-id
                  6. Condition.identifier.value
                  Control1..?
                  8. Condition.clinicalStatus
                  Shortevent_phase — #active = START visit; #resolved = END visit
                  Control1..?
                  Must Supporttrue
                  10. 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
                  12. Condition.subject
                  ShortTransplant recipient
                  TypeReference(Transplant Recipient)
                  Must Supporttrue
                  14. Condition.encounter
                  Shortvisit_id — Visit at which this event phase was recorded
                  Control1..?
                  TypeReference(Visit)
                  Must Supporttrue
                  16. 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
                  • 18. Condition.onset[x]:onsetDateTime
                    Slice NameonsetDateTime
                    ShortDate this event started (START 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
                    20. 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
                    • 22. Condition.abatement[x]:abatementDateTime
                      Slice NameabatementDateTime
                      ShortDate this event ended (END 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
                      24. Condition.evidence
                      Shortvascular_complication_type — coded vascular complication (if present)
                      Control0..1
                      Must Supporttrue
                      26. 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
                      28. 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 @ authorString
                      • 30. Condition.note:cause_death
                        Slice Namecause_death
                        Shortcause_death — free-text cause of death
                        Control0..1
                        Must Supporttrue
                        32. 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
                        • 34. 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
                          36. Condition.note:specify_kidney_rejection_episode
                          Slice Namespecify_kidney_rejection_episode
                          Shortspecify_kidney_rejection_episode — rejection episode specification (Kidney only)
                          Control0..1
                          Must Supporttrue
                          38. 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
                          • 40. 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
                            42. Condition.note:previous_urological_intervention
                            Slice Nameprevious_urological_intervention
                            Shortprevious_urological_intervention — prior urological intervention (Urological only)
                            Control0..1
                            Must Supporttrue
                            44. 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
                            • 46. 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
                              48. Condition.note:underlying_prothrombotic_disorders
                              Slice Nameunderlying_prothrombotic_disorders
                              Shortunderlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
                              Control0..1
                              Must Supporttrue
                              50. 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
                              • 52. 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
                                54. Condition.note:kidney_biopsy
                                Slice Namekidney_biopsy
                                Shortkidney_biopsy — kidney biopsy findings (free text)
                                Control0..1
                                Must Supporttrue
                                56. 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
                                • 58. 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())
                                  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

                                  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.

                                  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())
                                  16. 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())
                                  18. 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
                                  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..1
                                  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()))
                                  20. 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
                                  22. 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
                                  • 24. 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()))
                                    26. 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()))
                                    28. 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/clinical-event-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()))
                                    30. 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()))
                                    32. 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()))
                                    34. 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()))
                                    36. Condition.clinicalStatus
                                    Definition

                                    The clinical status of the condition.

                                    Shortevent_phase — #active = START visit; #resolved = END visit
                                    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.

                                    Control1..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()))
                                    38. Condition.verificationStatus
                                    Definition

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

                                    Shortunconfirmed | 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 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.
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    40. 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()))
                                    42. 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()))
                                    44. 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()))
                                    46. 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()))
                                    48. 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()))
                                    50. Condition.encounter
                                    Definition

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

                                    Shortvisit_id — Visit at which this event phase was recorded
                                    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()))
                                    52. 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
                                    • 54. 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 event started (START 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
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      56. 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
                                      • 58. 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 event ended (END 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
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        60. 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()))
                                        62. 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()))
                                        64. 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()))
                                        66. 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()))
                                        68. 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
                                        70. 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())
                                        72. 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())
                                        74. 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()))
                                        76. 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()))
                                        78. 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()))
                                        80. 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()))
                                        82. 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
                                        84. 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())
                                        86. 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())
                                        88. 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()))
                                        90. 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()))
                                        92. 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 @ authorString
                                        • 94. 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()))
                                          96. 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
                                          98. 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
                                          • 100. 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
                                            • 102. 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()))
                                              104. 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()))
                                              106. 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()))
                                              108. 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 (Kidney only)
                                              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()))
                                              110. 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
                                              112. 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
                                              • 114. 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
                                                • 116. 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()))
                                                  118. 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()))
                                                  120. 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()))
                                                  122. 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 (Urological only)
                                                  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()))
                                                  124. 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
                                                  126. 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
                                                  • 128. 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
                                                    • 130. 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()))
                                                      132. 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()))
                                                      134. 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()))
                                                      136. 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()))
                                                      138. 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
                                                      140. 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
                                                      • 142. 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
                                                        • 144. 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()))
                                                          146. 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()))
                                                          148. 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()))
                                                          150. 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()))
                                                          152. 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
                                                          154. 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
                                                          • 156. 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
                                                            • 158. 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()))
                                                              160. 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()))
                                                              162. 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()))