SIL HIE Implementation Guide
0.1.0 - sil-hie-active

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

Resource Profile: HIE Condition

Official URL: https://nshr.dha.go.ke/fhir/StructureDefinition/hie-condition Version: 0.1.0
Active as of 2025-11-25 Computable Name: HIECondition

R4B Condition constrained for HIE capture and exchange.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
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
... identifier SΣ 1..* Identifier External Ids for this condition
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... verificationStatus ?!SΣC 1..1 HIECodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category S 1..* HIECodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... severity S 1..1 HIECodeableConcept Subjective severity of condition
Binding: HIE Condition Severity (required)
... code SΣ 1..1 HIECodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite Σ 0..* HIECodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... subject SΣ 1..1 HIEReference(HIE Patient) Who has the condition?
... encounter Σ 1..1 HIEReference(HIE Encounter) Encounter created as part of
... recordedDate SΣ 1..1 dateTime Date record was first recorded
... recorder Σ 0..1 HIEReference(HIE Practitioner | PractitionerRole | HIE Patient) Who recorded the condition
... asserter Σ 1..1 HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson) Person who asserts this condition
... note 0..* HIEAnnotation Additional information about the Condition

doco 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
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

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

doco 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
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
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
... 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
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Ids for this condition
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 1..1 HIECodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 1..1 HIECodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category S 1..* HIECodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... severity S 1..1 HIECodeableConcept Subjective severity of condition
Binding: HIE Condition Severity (required)
... code SΣ 1..1 HIECodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite Σ 0..* HIECodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... subject SΣ 1..1 HIEReference(HIE Patient) Who has the condition?
... encounter Σ 1..1 HIEReference(HIE Encounter) Encounter created as part of
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Date record was first recorded
... recorder Σ 0..1 HIEReference(HIE Practitioner | PractitionerRole | HIE Patient) Who recorded the condition
... asserter Σ 1..1 HIEReference(Patient | HIE Practitioner | PractitionerRole | 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 HIECodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* HIEReference(Observation | DiagnosticReport) Formal record of assessment
.... type 0..1 HIECodeableConcept 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..* HIECodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* HIEReference(Resource) Supporting information found elsewhere
... note 0..* HIEAnnotation Additional information about the Condition

doco 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
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
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
... identifier SΣ 1..* Identifier External Ids for this condition
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... verificationStatus ?!SΣC 1..1 HIECodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category S 1..* HIECodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... severity S 1..1 HIECodeableConcept Subjective severity of condition
Binding: HIE Condition Severity (required)
... code SΣ 1..1 HIECodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite Σ 0..* HIECodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... subject SΣ 1..1 HIEReference(HIE Patient) Who has the condition?
... encounter Σ 1..1 HIEReference(HIE Encounter) Encounter created as part of
... recordedDate SΣ 1..1 dateTime Date record was first recorded
... recorder Σ 0..1 HIEReference(HIE Practitioner | PractitionerRole | HIE Patient) Who recorded the condition
... asserter Σ 1..1 HIEReference(Patient | HIE Practitioner | PractitionerRole | RelatedPerson) Person who asserts this condition
... note 0..* HIEAnnotation Additional information about the Condition

doco 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
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

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

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
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
... 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
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Ids for this condition
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 1..1 HIECodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner SΣ 0..1 HIEReference(HIE Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 1..1 HIECodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 1..1 HIECodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category S 1..* HIECodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... severity S 1..1 HIECodeableConcept Subjective severity of condition
Binding: HIE Condition Severity (required)
... code SΣ 1..1 HIECodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
... bodySite Σ 0..* HIECodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... subject SΣ 1..1 HIEReference(HIE Patient) Who has the condition?
... encounter Σ 1..1 HIEReference(HIE Encounter) Encounter created as part of
... onset[x] Σ 0..1 Estimated or actual date, date-time, or age
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Date record was first recorded
... recorder Σ 0..1 HIEReference(HIE Practitioner | PractitionerRole | HIE Patient) Who recorded the condition
... asserter Σ 1..1 HIEReference(Patient | HIE Practitioner | PractitionerRole | 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 HIECodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* HIEReference(Observation | DiagnosticReport) Formal record of assessment
.... type 0..1 HIECodeableConcept 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..* HIECodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* HIEReference(Resource) Supporting information found elsewhere
... note 0..* HIEAnnotation Additional information about the Condition

doco 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
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()

 

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