This page is part of the International Patient Summary Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips | Version: 2.0.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: ConditionUvIps |
This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.
Representation of a problem in the international patient summary
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
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?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||
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?!ΣC | 0..1 | CodeableConcept | 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. | ||||||||||||
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SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||
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SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||
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SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||
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SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| |||||||||||||
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dateTime | |||||||||||||||
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Age | |||||||||||||||
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Period | |||||||||||||||
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Range | |||||||||||||||
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string | |||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||
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Path | Status | Usage | ValueSet | Version | Source |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
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 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(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: ![]() ![]() | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Condition | Documentation of a health problem of the patient | |||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved
| ||||||||||||
![]() ![]() ![]() |
0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | |||||||||||||
![]() ![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||
![]() ![]() ![]() |
SO | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||
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0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
![]() ![]() ![]() |
SO | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||
![]() ![]() ![]() ![]() |
SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
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SO | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| ||||||||||||
![]() ![]() ![]() ![]() |
SO | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||
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Path | Status | Usage | ValueSet | Version | Source |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
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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 | |||||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||
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?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | 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. | ||||||||||||
![]() ![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||
![]() ![]() ![]() |
SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||
![]() ![]() ![]() |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| |||||||||||||
![]() ![]() ![]() ![]() |
dateTime | |||||||||||||||
![]() ![]() ![]() ![]() |
Age | |||||||||||||||
![]() ![]() ![]() ![]() |
Period | |||||||||||||||
![]() ![]() ![]() ![]() |
Range | |||||||||||||||
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string | |||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||
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C | 0..1 | When in resolution/remission | |||||||||||||
![]() ![]() ![]() ![]() |
dateTime | |||||||||||||||
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Age | |||||||||||||||
![]() ![]() ![]() ![]() |
Period | |||||||||||||||
![]() ![]() ![]() ![]() |
Range | |||||||||||||||
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string | |||||||||||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||||||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||
![]() ![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||
![]() ![]() ![]() ![]() |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||||||
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0..* | Annotation | Additional information about the Condition | |||||||||||||
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Path | Status | Usage | ValueSet | Version | Source |
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Condition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std. |
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
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 SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
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 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(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: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | Condition | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||||||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
![]() ![]() ![]() |
?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||
![]() ![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | 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. | ||||||||||||
![]() ![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||
![]() ![]() ![]() |
SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||
![]() ![]() ![]() |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||
![]() ![]() ![]() ![]() |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
![]() ![]() ![]() |
SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| |||||||||||||
![]() ![]() ![]() ![]() |
dateTime | |||||||||||||||
![]() ![]() ![]() ![]() |
Age | |||||||||||||||
![]() ![]() ![]() ![]() |
Period | |||||||||||||||
![]() ![]() ![]() ![]() |
Range | |||||||||||||||
![]() ![]() ![]() ![]() |
string | |||||||||||||||
![]() ![]() ![]() ![]() |
SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||
![]() |
Path | Status | Usage | ValueSet | Version | Source |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Id | Grade | Path(s) | Description | Expression |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
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 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(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: ![]() ![]() | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Condition | Documentation of a health problem of the patient | |||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved
| ||||||||||||
![]() ![]() ![]() |
0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | |||||||||||||
![]() ![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||
![]() ![]() ![]() |
SO | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||
![]() ![]() ![]() |
0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | |||||||||||||
![]() ![]() ![]() |
SO | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||
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SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
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SO | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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SO | 0..1 | dateTime | Estimated or actual date, date-time, or age
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Path | Status | Usage | ValueSet | Version | Source |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||
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C | 0..* | Condition | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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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 | |||||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||
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?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
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?!ΣC | 0..1 | CodeableConcept | 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. | ||||||||||||
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SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
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SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
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SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||
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SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
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0..1 | string | Unique id for inter-element referencing | |||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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dateTime | |||||||||||||||
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Age | |||||||||||||||
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Period | |||||||||||||||
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Range | |||||||||||||||
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string | |||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
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C | 0..1 | When in resolution/remission | |||||||||||||
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dateTime | |||||||||||||||
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Age | |||||||||||||||
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Period | |||||||||||||||
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Range | |||||||||||||||
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string | |||||||||||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||||||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||
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C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||||||
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0..* | Annotation | Additional information about the Condition | |||||||||||||
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Path | Status | Usage | ValueSet | Version | Source |
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | This IG |
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
Condition.code | Base | preferred | Problems - IPS | 📦2.0.0 | This IG |
Condition.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
Condition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std. |
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
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 SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
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 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(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()
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dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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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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This structure is derived from Condition
Summary
Mandatory: 2 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron