XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

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

## Resource Profile: Xpandh Condition Problems Profile

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-problems-hdr-xpandh | Version: 0.1.0
Active as of 2025-10-10 | Computable Name: ConditionProblemsHdrXpandh
Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License

Xpandh Condition Problems Profile is based upon the core FHIR Condition Resource and meets the Xpandh project requirements.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
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 | 1..* | 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..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
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
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)
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who has the condition?
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | S Σ | 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 | S Σ | 0..1 | dateTime S | Estimated or actual date, date-time, or age
Slices for abatement[x] | S C | 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 | S Σ | 0..1 | dateTime | Date record was first recorded
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.category:hdr-core | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | Condition Value Set | 📦0.1.0 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient
Slices for category |  | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | 1..* | 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..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
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
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
extension: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 | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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 | S Σ C | 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] | S Σ | 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 | S Σ | 0..1 | dateTime S | Estimated or actual date, date-time, or age
Slices for abatement[x] | S C | 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 | S Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | 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 Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.category:hdr-core | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | Condition Value Set | 📦0.1.0 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | required | Cancer Stage Grading: Snomed CT | 📦0.1.0 | This IG
Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConditionHdrXpandh

Summary

Mandatory: 2 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
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 | 1..* | 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..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
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
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)
Slices for extension |  |  |  | Content/Rules for all slices
extension: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 | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who has the condition?
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | S Σ | 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 | S Σ | 0..1 | dateTime S | Estimated or actual date, date-time, or age
Slices for abatement[x] | S C | 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 | S Σ | 0..1 | dateTime | Date record was first recorded
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.category:hdr-core | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | Condition Value Set | 📦0.1.0 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from ConditionHdrXpandh

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient
Slices for category |  | 1..* | CodeableConceptIPS | category codes Slice: Unordered, Open by value:$this
category:hdr-core | S | 1..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | ConditionHdrXpandh | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | 1..* | 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..* | CodeableConceptIPS | problem-list-item 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: problem-list-item
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
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
extension: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 | S Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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 | S Σ C | 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] | S Σ | 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 | S Σ | 0..1 | dateTime S | Estimated or actual date, date-time, or age
Slices for abatement[x] | S C | 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 | S Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | 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 Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.category:hdr-core | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | Condition Value Set | 📦0.1.0 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | required | Cancer Stage Grading: Snomed CT | 📦0.1.0 | This IG
Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConditionHdrXpandh

Summary

Mandatory: 2 elements
Must-Support: 1 element

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