XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: Condition Xpandh Hospital Dischage Encounter

This profile represents the constraint applied to the Condition in the scope of Xpandh hospital discharge encounter resource. Encounter conditions implements Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay (POA, HAC, NA - Not applicable or unknown) while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

Usage:

• Refer to this Resource Profile: Composition: Hospital Discharge Report

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ConditionHdrXpandh

Name	Flags	Card.	Type	Description & Constraints
Condition			ConditionHdrXpandh
Slices for category		3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this
category:hdr-core		1..1	CodeableConceptIPS	encounter-diagnosis Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
category:poa		1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionHdrXpandh	Documentation of a health problem of the patient con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		1..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
category:hdr-core	S	1..1	CodeableConceptIPS	encounter-diagnosis Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
category:poa	S	1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
category:treated	S	1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred) Additional Bindings Purpose Problem Severity - IPS candidate ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate ele-1: All FHIR elements must have a @value or children
bodySite		0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	S	0..*	CodingIPS	A reference to a code defined by a terminology system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient: HDR)	Who has the condition? ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
Slices for abatement[x]	SC	0..1		When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission ele-1: All FHIR elements must have a @value or children
recordedDate	SΣ	0..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:hdr-core	preferred	Pattern: encounter-diagnosis http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionHdrXpandh	Documentation of a health problem of the patient con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required)
verificationStatus	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
Slices for category	S	3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
category:hdr-core	S	1..1	CodeableConceptIPS	encounter-diagnosis Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:poa	S	1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate
category:treated	S	1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate
bodySite		0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
coding	S	0..*	CodingIPS	A reference to a code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient: HDR)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
Slices for abatement[x]	SC	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recordedDate	SΣ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: Cancer Stage Grading: Snomed CT (required)
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:hdr-core	preferred	Pattern: encounter-diagnosis http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	required	CancerStageGradingVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stage-grading-vs from this IG
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ConditionHdrXpandh

Summary

Mandatory: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category

Differential View

This structure is derived from ConditionHdrXpandh

Name	Flags	Card.	Type	Description & Constraints
Condition			ConditionHdrXpandh
Slices for category		3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this
category:hdr-core		1..1	CodeableConceptIPS	encounter-diagnosis Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
category:poa		1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required)
category:treated		1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionHdrXpandh	Documentation of a health problem of the patient con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text		1..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
category:hdr-core	S	1..1	CodeableConceptIPS	encounter-diagnosis Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
category:poa	S	1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
category:treated	S	1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate ele-1: All FHIR elements must have a @value or children
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred) Additional Bindings Purpose Problem Severity - IPS candidate ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate ele-1: All FHIR elements must have a @value or children
bodySite		0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	S	0..*	CodingIPS	A reference to a code defined by a terminology system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient: HDR)	Who has the condition? ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
Slices for abatement[x]	SC	0..1		When in resolution/remission Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission ele-1: All FHIR elements must have a @value or children
recordedDate	SΣ	0..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:hdr-core	preferred	Pattern: encounter-diagnosis http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionHdrXpandh	Documentation of a health problem of the patient con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required)
verificationStatus	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
Slices for category	S	3..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
category:hdr-core	S	1..1	CodeableConceptIPS	encounter-diagnosis Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:poa	S	1..1	CodeableConceptIPS	POA, HAC, NA Binding: Condition Present on Admission (POA) Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate
category:treated	S	1..1	CodeableConceptIPS	Treated or untreated Binding: Treatment Class Value Set (required) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Value Set (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate
bodySite		0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
coding	S	0..*	CodingIPS	A reference to a code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient: HDR)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
Slices for abatement[x]	SC	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recordedDate	SΣ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: Cancer Stage Grading: Snomed CT (required)
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:hdr-core	preferred	Pattern: encounter-diagnosis http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.category:poa	required	HdrPOAIndicatorXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-poa-indicator-xpandh-vs from this IG
Condition.category:treated	required	HdrTreatedXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-treated-xpandh-vs from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	HdrConditionXpandhVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/hdr-condition-xpandh-vs from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	required	CancerStageGradingVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stage-grading-vs from this IG
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ConditionHdrXpandh

Summary

Mandatory: 3 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category

Other representations of profile: CSV, Excel, Schematron