International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

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

Resource Profile: Condition (IPS)

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

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 Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... severity SO 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... Slices for onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings

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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Documentation of a health problem of the patient
... clinicalStatus SO 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... verificationStatus 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SO 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... Slices for onset[x] SO 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onset[x]:onsetDateTime SO 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings (Differential)

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.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... verificationStatus ?!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.
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... severity SO 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
.... type 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).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 record 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) Person who asserts this 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..* Reference(ClinicalImpression | DiagnosticReport | 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 C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

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.

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 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:

  • The element 1 is sliced based on the value of Condition.onset[x]

Maturity: 3

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... severity SO 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... Slices for onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings

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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Documentation of a health problem of the patient
... clinicalStatus SO 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... verificationStatus 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SO 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... Slices for onset[x] SO 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onset[x]:onsetDateTime SO 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)

doco Documentation for this format

Terminology Bindings (Differential)

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Documentation of a health problem of the patient
Constraints: con-3, con-4, con-5
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SOΣC 0..1 CodeableConceptIPS active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... verificationStatus ?!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.
... category SO 0..* CodeableConceptIPS problem-list-item | encounter-diagnosis
Binding: Problem Type - IPS (extensible)
Additional BindingsPurpose
Problem Type (LOINC) candidate

ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... severity SO 0..1 CodeableConceptIPS Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code 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
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
... subject SOΣ 1..1 Reference(Patient (IPS)) Who has the condition?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
.... type 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).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] SOΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SOΣ 0..1 dateTime Estimated or actual date, date-time, or age
ObligationsActor
SHOULD:able-to-populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... 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 record 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) Person who asserts this 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..* Reference(ClinicalImpression | DiagnosticReport | 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 C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

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.

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 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:

  • The element 1 is sliced based on the value of Condition.onset[x]

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron