SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

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

Resource Profile: SGHI Condition

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition Version: 0.1.0
Draft as of 2025-11-27 Computable Name: SGHICondition

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

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-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
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍5.0.0 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦0.1.0 This IG
Condition.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍5.0.0 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 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦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-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
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base required All Languages 📍5.0.0 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📦5.0.0 FHIR Std.
Condition.identifier.​type Base required SGHI Standard Identifier Types 📦0.1.0 This IG
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍5.0.0 FHIR Std.
Condition.verificationStatus Base required Condition Verification Status 📍5.0.0 FHIR Std.
Condition.category Base preferred Condition Category Codes 📍5.0.0 FHIR Std.
Condition.severity Base required sghi-condition-severity 📦0.1.0 This IG
Condition.code Base required All ICD-11 codes 📦0.1.0 This IG
Condition.bodySite Base required All ICD-11 codes 📦0.1.0 This IG
Condition.participant.​function Base extensible Participation Role Type 📍5.0.0 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍5.0.0 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍5.0.0 FHIR Std.
Condition.evidence Base example SNOMED CT Clinical Findings 📍5.0.0 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 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()

 

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