XpanDH Patient Summary, 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-ps/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Condition (EU PS)

This profile constrains the Condition resource for the purpose of the European patient summary.

This profile constrains the Condition resource for the purpose of the European patient summary.

Usages:

• Use this Profile: Bundle (EU PS)
• Refer to this Profile: CareTeam, Composition (EU PS) and Medication Statement (EU PS)

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..*	ConditionUvIps	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
extension		0..0
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension
extension:actor		0..*	Extension	Who or what participated
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Reason for this status (resource ref)
extension		0..0
url		1..1	uri	"reference"
url		1..1	uri	"http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred) Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate
subject	SΣ	1..1	Reference(Patient (EU PS))	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
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.category	Base	preferred	Problem Type - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦0.1.0	This IG

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 ConditionUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			ConditionUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
extension:actor		0..*	Extension	Who or what participated
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Reason for this status (resource ref)
severity		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred)
subject		1..1	Reference(Patient (EU PS))	Who has the condition?
onset[x]		0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]		0..1	dateTime	When in resolution/remission
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	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		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
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:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension
extension:actor		0..*	Extension	Who or what participated
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
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:concept		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"concept"
value[x]		0..1	CodeableConcept	Value of extension
extension:reference		0..1	Extension	Reason for this status (resource ref)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reference"
value[x]		0..1	Reference(Procedure | MedicationStatement | CarePlan | MedicationAdministration)	Value of extension
url		1..1	uri	"http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason"
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): The clinical status of the condition or diagnosis.
verificationStatus		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred) 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)
subject	SΣ	1..1	Reference(Patient (EU PS))	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
onset[x]	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
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.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦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	example	Condition Stage	📦4.0.1	FHIR Std.
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 ConditionUvIps

Summary

Structures

This structure refers to these other structures:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
• http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
extension		0..0
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension
extension:actor		0..*	Extension	Who or what participated
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Reason for this status (resource ref)
extension		0..0
url		1..1	uri	"reference"
url		1..1	uri	"http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred) Additional Bindings Purpose Problems - SNOMED CT IPS Free Set candidate Absent or Unknown Problems - IPS candidate
subject	SΣ	1..1	Reference(Patient (EU PS))	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
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.category	Base	preferred	Problem Type - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦0.1.0	This IG

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 ConditionUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			ConditionUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
extension:actor		0..*	Extension	Who or what participated
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Reason for this status (resource ref)
severity		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required)
code		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred)
subject		1..1	Reference(Patient (EU PS))	Who has the condition?
onset[x]		0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]		0..1	dateTime	When in resolution/remission
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦0.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	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		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
extension:participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
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:function		0..*	Extension	Type of participation Example Contact Person: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0131","code":"CP"}]}
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension
extension:actor		0..*	Extension	Who or what participated
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
extension:statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason
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:concept		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"concept"
value[x]		0..1	CodeableConcept	Value of extension
extension:reference		0..1	Extension	Reason for this status (resource ref)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reference"
value[x]		0..1	Reference(Procedure | MedicationStatement | CarePlan | MedicationAdministration)	Value of extension
url		1..1	uri	"http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason"
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): The clinical status of the condition or diagnosis.
verificationStatus		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Severity (required) Additional Bindings Purpose Problem Severity - IPS candidate
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems (including unknown conditions) (preferred) 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)
subject	SΣ	1..1	Reference(Patient (EU PS))	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
onset[x]	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
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.severity	Base	required	Severity	📦0.1.0	This IG
Condition.code	Base	preferred	Problems (including unknown conditions)	📦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	example	Condition Stage	📦4.0.1	FHIR Std.
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 ConditionUvIps

Summary

Structures

This structure refers to these other structures:

• Patient (EU PS) (http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/Patient-ps-xpandh)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
• http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant
• http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason

Other representations of profile: CSV, Excel, Schematron