SGHI FHIR Profile 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/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
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Resource Profile: SGHI Condition

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Usages:

• Refer to this Profile: SGHI Appointment Profile, SGHI Encounter, SGHI MedicationRequest, SGHI Procedure... Show 2 more, SGHI RiskAssessment and SGHI ServiceRequest
• Examples for this Profile: Condition/ExampleSGHICondition

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-2, con-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this condition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	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	C	1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code	Σ	1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite	Σ	0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject	Σ	1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter	Σ	1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	1..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 From the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
identifier		1..*	Identifier	External Ids for this condition
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus		1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown
verificationStatus		1..1	SGHICodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category		1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code		1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite		0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject		1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter		1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]		0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]		0..1	dateTime	When in resolution/remission
recordedDate		1..1	dateTime	Date condition was first recorded
participant		1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
actor		1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the condition
stage
assessment		0..*	SGHIReference(SGHI DiagnosticReport | SGHI Observation)	Formal record of assessment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From 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-2, con-3
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	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	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	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	C	1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code	Σ	1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite	Σ	0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject	Σ	1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter	Σ	1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	1..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the 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..*	SGHIReference(SGHI DiagnosticReport | SGHI 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	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 From the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type From the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Condition

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
• SGHI DiagnosticReport (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-diagnosticreport)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)

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-2, con-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	External Ids for this condition
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	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	C	1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code	Σ	1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite	Σ	0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject	Σ	1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter	Σ	1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	1..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 From the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
identifier		1..*	Identifier	External Ids for this condition
use		0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type		0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus		1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown
verificationStatus		1..1	SGHICodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
category		1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code		1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite		0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject		1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter		1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]		0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]		0..1	dateTime	When in resolution/remission
recordedDate		1..1	dateTime	Date condition was first recorded
participant		1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
actor		1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the condition
stage
assessment		0..*	SGHIReference(SGHI DiagnosticReport | SGHI Observation)	Formal record of assessment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From 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-2, con-3
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	SGHICodeableConcept	Description of identifier Binding: SGHI Standard Identifier Types (required)
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	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	Σ	1..1	SGHIReference(SGHI Organization)	Organization that issued id (may be just text)
clinicalStatus	?!ΣC	1..1	SGHICodeableConcept	active | recurrence | relapse | inactive | remission | resolved | unknown Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	1..1	SGHICodeableConcept	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	C	1..*	SGHICodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (preferred): A category assigned to the condition.
severity		1..1	SGHICodeableConcept	Subjective severity of condition Binding: sghi-condition-severity (required): Custom severity values intentionally override the HL7 preferred ConditionSeverity ValueSet.
code	Σ	1..1	SGHICodeableConcept	Identification of the condition, problem or diagnosis Binding: All ICD-11 codes (required)
bodySite	Σ	0..*	SGHICodeableConcept	Anatomical location, if relevant Binding: All ICD-11 codes (required)
subject	Σ	1..1	SGHIReference(SGHI Patient)	Who has the condition?
encounter	Σ	1..1	SGHIReference(SGHI Encounter)	The Encounter during which this Condition was created
onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	1..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	Who or what participated in the activities related to the condition and how they were involved
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
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	SGHIReference(SGHI Patient | SGHI Organization)	Who or what participated in the activities related to the 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..*	SGHIReference(SGHI DiagnosticReport | SGHI 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	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Condition.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use From the FHIR Standard
Condition.identifier.type	required	SGHIIdentifierTypes https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 From the FHIR Standard
Condition.category	preferred	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	required	SGHIConditionSeverity https://fhir.slade360.co.ke/fhir/ValueSet/sghi-condition-severity From this IG
Condition.code	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.bodySite	required	ICD11Codes https://fhir.slade360.co.ke/fhir/ValueSet/ICD11Codes From this IG
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type From the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Condition

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

• SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
• SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
• SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
• SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
• SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
• SGHI DiagnosticReport (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-diagnosticreport)
• SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)

Other representations of profile: CSV, Excel, Schematron