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.

Usage:

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

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 ConditionUvIps

Name	Flags	Card.	Type	Description & Constraints
Condition			ConditionUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
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
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	Conformance	ValueSet	URI
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionUvIps	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both 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 ele-1: All FHIR elements must have a @value or children
extension:actor		0..*	Extension	Who or what participated ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Reason for this status (resource ref) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 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): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) 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: Severity (required) 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: Problems (including unknown conditions) (preferred) 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
subject	SΣ	1..1	Reference(Patient (EU PS))	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
onset[x]	SΣ	0..1	dateTime	Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
abatement[x]	C	0..1	dateTime	When in resolution/remission ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode from this IG

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..*	ConditionUvIps	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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
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"
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 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	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 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	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|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode 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	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
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 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

Differential View

This structure is derived from ConditionUvIps

Name	Flags	Card.	Type	Description & Constraints
Condition			ConditionUvIps
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
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
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	Conformance	ValueSet	URI
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ConditionUvIps	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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
participantR5		0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:function		0..*	Extension	Type of participation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both 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 ele-1: All FHIR elements must have a @value or children
extension:actor		0..*	Extension	Who or what participated ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"actor"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Condition.participant"
statusReason		0..1	(Complex)	Condition Status Reason URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/condition-statusReason ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"concept"
extension:reference		0..1	Extension	Reason for this status (resource ref) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 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): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (preferred) 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: Severity (required) 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: Problems (including unknown conditions) (preferred) 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
subject	SΣ	1..1	Reference(Patient (EU PS))	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
onset[x]	SΣ	0..1	dateTime	Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
abatement[x]	C	0..1	dateTime	When in resolution/remission ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode from this IG

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..*	ConditionUvIps	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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
supportingInfo		0..*	Reference(DocumentReference)	Reference to additional information as Guidelines URL: http://hl7.eu/fhir/ig/xpandh/ps/StructureDefinition/supportingInformation
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"
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 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	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 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	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|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	preferred	ProblemTypeUvIps http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
Condition.severity	required	EHDSISeverity http://terminology.ehdsi.eu/ValueSet/eHDSISeverity from this IG
Condition.code	preferred	EHDSIProblemCode http://hl7.eu/fhir/ig/xpandh/ps/ValueSet/eHDSIProblemCode 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	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
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 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