Name Flags Card. Type Description & Constraints doco
. . Condition TU DomainResource Detailed information about conditions, problems or diagnoses
+ Warning: If category is problems list item, the clinicalStatus should not be unknown
+ Rule: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
+ Rule: bodyStructure SHALL only be present if Condition.bodySite is not present

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
. . . identifier Σ 0..* Identifier External Ids for this condition

. . . clinicalStatus ?! Σ C 1..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved | unknown
Binding: Condition Clinical Status Codes ( Required)
. . . verificationStatus ?! Σ 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: Condition Verification Status ( Required)
. . . category C 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: Condition Category Codes ( Preferred)

. . . severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/Diagnosis Severity ( Preferred)
. . . code Σ 0..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/Diagnosis Codes ( Example)
. . . bodySite Σ C 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMED CT Body Structures ( Example)

. . . bodyStructure C 0..1 Reference( BodyStructure) Anatomical body structure
. . . subject Σ 1..1 Reference( Patient | Group) Who has the condition?
. . . encounter Σ 0..1 Reference( Encounter) The Encounter during which this Condition was created
. . . 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 Σ 0..1 dateTime Date condition was first recorded
. . . recorder Σ 0..1 Reference( Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
. . . asserter Σ 0..1 Reference( Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Person or device that asserts this condition
. . . stage C TU 0..* BackboneElement Stage/grade, usually assessed formally
+ Rule: Stage SHALL have summary or assessment

. . . . summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: Condition Stage ( Example)
. . . . assessment C 0..* Reference( ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment

. . . . type 0..1 CodeableConcept Kind of staging
Binding: Condition Stage Type ( Example)
. . . evidence Σ TU 0..* CodeableReference( Any) Supporting evidence for the condition
Binding: SNOMED CT Clinical Findings ( Example)

. . . note 0..* Annotation Additional information about the Condition


doco Documentation for this format