AU Core Implementation Guide
            
            2.0.0-ci-build - CI Build
  
            
          
AU Core Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-core/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-condition | Version: 2.0.0-ci-build | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: AUCoreCondition | ||
| Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. | ||||
This profile sets minimum expectations for a Condition resource to record, search, and fetch problems, diagnoses, and health concerns associated with a patient. It is based on the AU Base Condition profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Condition resource when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
The following are supported usage scenarios for this profile:
Condition.category provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.Condition.code.text and/or Condition.code.coding.display so that requesters can display the condition even if the requester does not recognise the code supplied.Condition.clinicalStatusCondition.code:
    Condition.code SHOULD use the code SNOMED CT 160245001 |No current problems or disability (situation)|Condition.code and Condition.verificationStatus of "confirmed" or "unconfirmed"The additional obligation for Condition.onsetDateTime for AU Core Responder is SHOULD:populate. There is no additional obligation for AU Core Requester, the obligation of SHALL:no-error applies.
This obligation is present in the underlying structure but due to a tooling limitation is not currently rendered in the profile view. See Zulip discussion for more information.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 1.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5 | ||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
|    clinicalStatus | ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. 
 | ||||||
|    verificationStatus | ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    onset[x] | SOΣ | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SOC | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| 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 | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').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 AUBaseCondition
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context | |||||||
|    clinicalStatus | SO | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved 
 | ||||||
|    verificationStatus | SO | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SO | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SO | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    onset[x] | SO | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SO | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | 
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context 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. 
 | |||||||
|    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 | |||||||
|    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 | ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. 
 | ||||||
|    verificationStatus | ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
|    onset[x] | SOΣ | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SOC | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    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: Clinical Finding  (preferred) | ||||||
|     detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| 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 | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| 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 | preferred | Clinical Finding   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | 
| 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 AUBaseCondition
Summary
Mandatory: 2 elements
 Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5 | ||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
|    clinicalStatus | ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. 
 | ||||||
|    verificationStatus | ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    onset[x] | SOΣ | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SOC | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| 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 | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').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() | 
Differential View
This structure is derived from AUBaseCondition
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context | |||||||
|    clinicalStatus | SO | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved 
 | ||||||
|    verificationStatus | SO | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SO | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SO | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    onset[x] | SO | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SO | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | AUBaseCondition | A condition, problem or diagnosis statement in an Australian healthcare context 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. 
 | |||||||
|    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 | |||||||
|    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 | ?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. 
 | ||||||
|    verificationStatus | ?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. 
 | ||||||
|    category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 
 | ||||||
|    severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible) 
 | ||||||
|    code | SOΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition  (extensible) 
 | ||||||
|    bodySite | ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site  (extensible) Constraints: au-core-cond-01 | ||||||
|    subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who has the condition? 
 | ||||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||
|    onset[x] | SOΣ | 0..1 | Estimated or actual date,  date-time, or age 
 | |||||||
|     onsetDateTime | dateTime S | |||||||||
|     onsetAge | Age | |||||||||
|     onsetPeriod | Period | |||||||||
|     onsetRange | Range | |||||||||
|    abatement[x] | SOC | 0..1 | When in resolution/remission 
 | |||||||
|     abatementDateTime | dateTime | |||||||||
|     abatementAge | Age | |||||||||
|     abatementPeriod | Period | |||||||||
|     abatementRange | Range | |||||||||
|    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: Clinical Finding  (preferred) | ||||||
|     detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
|    note | SO | 0..* | Annotation | Additional information about the Condition 
 | ||||||
|  Documentation for this format | ||||||||||
| 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 | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. | 
| Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. | 
| Condition.code | Base | extensible | Clinical Condition   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Condition.bodySite | Base | extensible | Body Site   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| 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 | preferred | Clinical Finding   | ⏿1.0.2 | tx.ontoserver.csiro.au | 
| Id | Grade | Path(s) | Description | Expression | 
| au-core-cond-01 | error | Condition.bodySite | If a coded body site is provided, at least one coding shall be from SNOMED CT | coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | 
| 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 AUBaseCondition
Summary
Mandatory: 2 elements
 Must-Support: 9 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.
FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.
Any search parameter defined in FHIR may be 'allowed' by the system unless explicitly marked as "SHALL NOT". A few items are marked as MAY in this implementation guide to highlight their potential relevance.
| Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) | 
|---|---|---|---|
| patient | SHALL | reference | The requester SHALL provide at least an id value and MAY provide both the Type and id values. The responder SHALL support both. The requester SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The responder SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. | 
| patient+category | SHALL | reference+token | |
| patient+clinical-status | SHALL | reference+token | |
| patient+category+clinical-status | SHOULD | reference+token+token | |
| patient+code | SHOULD | reference+token | |
| patient+onset-date | SHOULD | reference+date | |
| category | MAY | token | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. | 
| clinical-status | MAY | token | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. | 
| code | MAY | token | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. The requester SHOULD support multipleOr. The responder SHOULD supportmultipleOr. | 
| onset-date | MAY | date | A requester SHALL provide a value precise to the second + time offset. A responder SHALL support a value precise to the second + time offset. The requester SHALL support these search comparators gt,lt,ge,le. The responder SHALL support these search comparatorsgt,lt,ge,le.The requester SHOULD support multipleAnd, and ifmultipleAndis supported, SHALL support the search comparatorsgt,lt,ge,le. The responder SHOULD supportmultipleAnd, and ifmultipleAndis supported, SHALL support the search comparatorsgt,lt,ge,le. | 
The following search parameters and search parameter combinations SHALL be supported:
patient search parameter:
    patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Condition?patient={Type/}[id]
 or optionally  GET [base]/Condition?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient (how to search by reference and how to search by token)
patient and category search parameters:
    patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Condition?patient={Type/}[id]&category={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category code = encounter-diagnosis (how to search by reference and how to search by token)
patient and clinical-status search parameters:
    patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Condition?patient={Type/}[id]&clinical-status={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and a clinical status (how to search by reference and how to search by token)
The following search parameters and search parameter combinations SHOULD be supported:
patient and category and clinical-status search parameters:
    patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Condition?patient={Type/}[id]&category={system|}[code]&clinical-status={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and category and clinical-status (how to search by reference and how to search by token)
patient and code search parameters:
    patient.identifier (e.g. patient.identifier=[system|][code])code (e.g.code={system|}[code],{system|}[code],...)GET [base]/Condition?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and condition code(s). SHOULD support search by multiple codes. The Condition code parameter searches Condition.code only. (how to search by reference and how to search by token)
patient and onset-date search parameters:
    patient.identifier (e.g. patient.identifier=[system|][code])onset-date comparators: gt,lt,ge,leonset-date (e.g.onset-date=[date]&date=[date]]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/Condition?patient={Type/}[id]&onset-date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all Condition resources for the specified patient and onset-date (how to search by reference and how to search by date)