SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

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

Resource Profile: HIE Condition

R4B Condition constrained for HIE capture and exchange.

Usages:

• Refer to this Profile: HIE Appointment, HIE MedicationRequest and HIE ServiceRequest
• Examples for this Profile: Condition/HIECondition-example

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..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
Condition.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Condition.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Condition.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Constraints: cc-text-or-code
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) Constraints: cc-text-or-code
Condition.category	S This element must be supported. C	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) Constraints: cc-text-or-code
Condition.severity	S This element must be supported. C	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required) Constraints: cc-text-or-code
Condition.code	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. Constraints: cc-text-or-code
Condition.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.3.0	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	Condition.identifier.type, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.severity, Condition.code, Condition.bodySite	Text is optional, coding is required	coding.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item	verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()
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.exists() and ('#'+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(uri) = '#').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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Condition.identifier	S This element must be supported.	1..*	Identifier	External Ids for this condition
Condition.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
Condition.identifier.system		1..1	uri	The namespace for the identifier value
Condition.identifier.value	S This element must be supported.	1..1	string	The value that is unique
Condition.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	S This element must be supported.	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	S This element must be supported.	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.category	S This element must be supported.	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required)
Condition.severity	S This element must be supported.	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required)
Condition.code		1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis
Condition.bodySite		0..*	HIECodeableConcept	Anatomical location, if relevant
Condition.subject	S This element must be supported.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter		1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.recordedDate	S This element must be supported.	1..1	dateTime	Date record was first recorded
Condition.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter		1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.stage
Condition.stage.summary		0..1	HIECodeableConcept	Simple summary (disease specific)
Condition.stage.assessment		0..*	HIEReference(Observation | DiagnosticReport)	Formal record of assessment
Condition.stage.type		0..1	HIECodeableConcept	Kind of staging
Condition.evidence
Condition.evidence.code		0..*	HIECodeableConcept	Manifestation/symptom
Condition.evidence.detail		0..*	HIEReference(Resource)	Supporting information found elsewhere
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
Condition.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
Condition.contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
Condition.extension		0..*	Extension	Additional content defined by implementations
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.identifier.id		0..1	id	Unique id for inter-element referencing
Condition.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
Condition.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Condition.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Condition.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Condition.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Constraints: cc-text-or-code
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) Constraints: cc-text-or-code
Condition.category	S This element must be supported. C	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) Constraints: cc-text-or-code
Condition.severity	S This element must be supported. C	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required) Constraints: cc-text-or-code
Condition.code	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. Constraints: cc-text-or-code
Condition.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.onset[x]	Σ This element is included in summaries.	0..1		Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.onset[x].onsetString			string
Condition.abatement[x]	C	0..1		When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	HIECodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). Constraints: cc-text-or-code
Condition.stage.assessment	C	0..*	HIEReference(Observation | DiagnosticReport)	Formal record of assessment
Condition.stage.type	C	0..1	HIECodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Constraints: cc-text-or-code
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. Constraints: cc-text-or-code
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	HIEReference(Resource)	Supporting information found elsewhere
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.3.0	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.3.0	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.3.0	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	Condition.identifier.type, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.severity, Condition.code, Condition.bodySite, Condition.stage.summary, Condition.stage.type, Condition.evidence.code	Text is optional, coding is required	coding.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 SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item	verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	Condition.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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 Condition

Summary

Mandatory: 13 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
Condition.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Condition.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Condition.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Constraints: cc-text-or-code
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) Constraints: cc-text-or-code
Condition.category	S This element must be supported. C	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) Constraints: cc-text-or-code
Condition.severity	S This element must be supported. C	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required) Constraints: cc-text-or-code
Condition.code	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. Constraints: cc-text-or-code
Condition.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.3.0	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	Condition.identifier.type, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.severity, Condition.code, Condition.bodySite	Text is optional, coding is required	coding.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item	verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()
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.exists() and ('#'+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(uri) = '#').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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Condition.identifier	S This element must be supported.	1..*	Identifier	External Ids for this condition
Condition.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
Condition.identifier.system		1..1	uri	The namespace for the identifier value
Condition.identifier.value	S This element must be supported.	1..1	string	The value that is unique
Condition.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	S This element must be supported.	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	S This element must be supported.	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.category	S This element must be supported.	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required)
Condition.severity	S This element must be supported.	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required)
Condition.code		1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis
Condition.bodySite		0..*	HIECodeableConcept	Anatomical location, if relevant
Condition.subject	S This element must be supported.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter		1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.recordedDate	S This element must be supported.	1..1	dateTime	Date record was first recorded
Condition.recorder		0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter		1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.stage
Condition.stage.summary		0..1	HIECodeableConcept	Simple summary (disease specific)
Condition.stage.assessment		0..*	HIEReference(Observation | DiagnosticReport)	Formal record of assessment
Condition.stage.type		0..1	HIECodeableConcept	Kind of staging
Condition.evidence
Condition.evidence.code		0..*	HIECodeableConcept	Manifestation/symptom
Condition.evidence.detail		0..*	HIEReference(Resource)	Supporting information found elsewhere
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
Condition.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
Condition.contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
Condition.extension		0..*	Extension	Additional content defined by implementations
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.identifier.id		0..1	id	Unique id for inter-element referencing
Condition.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
Condition.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
Condition.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Condition.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Condition.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Condition.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Constraints: cc-text-or-code
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) Constraints: cc-text-or-code
Condition.category	S This element must be supported. C	1..*	HIECodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (required) Constraints: cc-text-or-code
Condition.severity	S This element must be supported. C	1..1	HIECodeableConcept	Subjective severity of condition Binding: HIE Condition Severity (required) Constraints: cc-text-or-code
Condition.code	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. Constraints: cc-text-or-code
Condition.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter created as part of
Condition.onset[x]	Σ This element is included in summaries.	0..1		Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.onset[x].onsetString			string
Condition.abatement[x]	C	0..1		When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	HIEReference(HIE Practitioner | PractitionerRole | HIE Patient)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	1..1	HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	HIECodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). Constraints: cc-text-or-code
Condition.stage.assessment	C	0..*	HIEReference(Observation | DiagnosticReport)	Formal record of assessment
Condition.stage.type	C	0..1	HIECodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Constraints: cc-text-or-code
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. Constraints: cc-text-or-code
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	HIEReference(Resource)	Supporting information found elsewhere
Condition.note		0..*	HIEAnnotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
Condition.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
Condition.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.3.0	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.3.0	FHIR Std.
Condition.category	Base	required	Condition Category Codes	📦4.3.0	FHIR Std.
Condition.severity	Base	required	HIE Condition Severity	📦0.1.0	This IG
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.3.0	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.3.0	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.3.0	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	Condition.identifier.type, Condition.clinicalStatus, Condition.verificationStatus, Condition.category, Condition.severity, Condition.code, Condition.bodySite, Condition.stage.summary, Condition.stage.type, Condition.evidence.code	Text is optional, coding is required	coding.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 SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item	verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	Condition.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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 Condition

Summary

Mandatory: 13 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

Other representations of profile: CSV, Excel, Schematron