This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Patient Care Work Group | Maturity Level: 3 | Trial Use | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
Detailed Descriptions for the elements in the Condition resource.
Condition | |
Definition | A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. |
Control | 1..1 |
Invariants | Defined on this element con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (expression : verificationStatus='entered-in-error' or clinicalStatus.exists(), xpath: f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (expression : abatement.empty() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive', xpath: not(exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive')) |
Condition.identifier | |
Definition | This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Need to allow connection to a wider workflow. |
Summary | true |
Condition.clinicalStatus | |
Definition | The clinical status of the condition. |
Control | 0..1 |
Terminology Binding | Condition Clinical Status Codes (Required) |
Type | code |
Is Modifier | true |
Summary | true |
Comments | This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern. |
Invariants | Affect this element con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (expression : verificationStatus='entered-in-error' or clinicalStatus.exists(), xpath: f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (expression : abatement.empty() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive', xpath: not(exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive')) |
Condition.verificationStatus | |
Definition | The verification status to support the clinical status of the condition. |
Control | 0..1 |
Terminology Binding | ConditionVerificationStatus (Required) |
Type | code |
Is Modifier | true |
Default Value | unknown |
Summary | true |
Comments | verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. |
Invariants | Affect this element con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (expression : verificationStatus='entered-in-error' or clinicalStatus.exists(), xpath: f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)) |
Condition.category | |
Definition | A category assigned to the condition. |
Control | 0..* |
Terminology Binding | Condition Category Codes (Example) |
Type | CodeableConcept |
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. |
Condition.severity | |
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician. |
Control | 0..1 |
Terminology Binding | Condition/Diagnosis Severity (Preferred) |
Type | CodeableConcept |
Comments | Coding of the severity with a terminology is preferred, where possible. |
Condition.code | |
Definition | Identification of the condition, problem or diagnosis. |
Control | 0..1 |
Terminology Binding | Condition/Problem/Diagnosis Codes (Example) |
Type | CodeableConcept |
Requirements | 0..1 to account for primarily narrative only resources. |
Alternate Names | type |
Summary | true |
Condition.bodySite | |
Definition | The anatomical location where this condition manifests itself. |
Control | 0..* |
Terminology Binding | SNOMED CT Body Structures (Example) |
Type | CodeableConcept |
Summary | true |
Comments | Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-structure. May be a summary code, or a reference to a very precise definition of the location, or both. |
Condition.subject | |
Definition | Indicates the patient or group who the condition record is associated with. |
Control | 1..1 |
Type | Reference(Patient | Group) |
Requirements | Group is typically used for veterinary or public health use cases. |
Alternate Names | patient |
Summary | true |
Condition.context | |
Definition | Encounter during which the condition was first asserted. |
Control | 0..1 |
Type | Reference(Encounter | EpisodeOfCare) |
Alternate Names | encounter |
Summary | true |
Comments | This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". |
Condition.onset[x] | |
Definition | Estimated or actual date or date-time the condition began, in the opinion of the clinician. |
Control | 0..1 |
Type | dateTime|Age|Period|Range|string |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Summary | true |
Comments | Age is generally used when the patient reports an age at which the Condition began to occur. |
Condition.abatement[x] | |
Definition | The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. |
Control | 0..1 |
Type | dateTime|Age|Period|Range|string |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. |
Invariants | Affect this element con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (expression : abatement.empty() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive', xpath: not(exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive')) |
Condition.assertedDate | |
Definition | The date on which the existance of the Condition was first asserted or acknowledged. |
Control | 0..1 |
Type | dateTime |
Summary | true |
Comments | The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata. |
Condition.recorder | |
Definition | Individual who recorded the record and takes responsibility for its content. |
Control | 0..1 |
Type | Reference(Practitioner | Patient | RelatedPerson) |
Summary | true |
Condition.asserter | |
Definition | Individual who is making the condition statement. |
Control | 0..1 |
Type | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) |
Summary | true |
Condition.stage | |
Definition | Clinical stage or grade of a condition. May include formal severity assessments. |
Control | 0..* |
Invariants | Defined on this element con-1: Stage SHALL have summary or assessment (expression : summary.exists() or assessment.exists(), xpath: exists(f:summary) or exists(f:assessment)) |
Condition.stage.summary | |
Definition | A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. |
Control | 0..1 |
Terminology Binding | Condition Stage (Example) |
Type | CodeableConcept |
Invariants | Affect this element con-1: Stage SHALL have summary or assessment (expression : summary.exists() or assessment.exists(), xpath: exists(f:summary) or exists(f:assessment)) |
Condition.stage.assessment | |
Definition | Reference to a formal record of the evidence on which the staging assessment is based. |
Control | 0..* |
Type | Reference(ClinicalImpression | DiagnosticReport | Observation) |
Invariants | Affect this element con-1: Stage SHALL have summary or assessment (expression : summary.exists() or assessment.exists(), xpath: exists(f:summary) or exists(f:assessment)) |
Condition.stage.type | |
Definition | The kind of staging, such as pathological or clinical staging. |
Control | 0..1 |
Terminology Binding | Condition Stage Type (Example) |
Type | CodeableConcept |
Condition.evidence | |
Definition | Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed. |
Control | 0..* |
Comments | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. |
Invariants | Defined on this element con-2: evidence SHALL have code or details (expression : code.exists() or detail.exists(), xpath: exists(f:code) or exists(f:detail)) |
Condition.evidence.code | |
Definition | A manifestation or symptom that led to the recording of this condition. |
Control | 0..* |
Terminology Binding | Manifestation and Symptom Codes (Example) |
Type | CodeableConcept |
Summary | true |
Invariants | Affect this element con-2: evidence SHALL have code or details (expression : code.exists() or detail.exists(), xpath: exists(f:code) or exists(f:detail)) |
Condition.evidence.detail | |
Definition | Links to other relevant information, including pathology reports. |
Control | 0..* |
Type | Reference(Any) |
Summary | true |
Invariants | Affect this element con-2: evidence SHALL have code or details (expression : code.exists() or detail.exists(), xpath: exists(f:code) or exists(f:detail)) |
Condition.note | |
Definition | Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. |
Control | 0..* |
Type | Annotation |