SDOH Clinical Care
3.0.0-ballot - STU 3 Ballot

SDOH Clinical Care - Downloaded Version 3.0.0-ballot See the Directory of published versions

## Resource Profile: SDOHCC Condition - Detailed Descriptions

Page standards status: Trial-use | Maturity Level: 2

Definitions for the SDOHCC-Condition resource profile

- Key Elements Table
- Differential Table
- Snapshot Table

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | For representation of SDOH conditions. A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Short | Detailed information about SDOH conditions, problems or diagnosesDetailed information about conditions, problems or diagnoses
Comments | Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths (e.g., to arrive at SDOH Conditions) are also possible. One specific use for this profile is to represent a Health Concern that is either; 1) directly asserted based on the patient’s answer to a specific question from an SDOH screening questionnaire or 2) computed/generated based on the patient’s answers to multiple questions. The questions and answers from the screening questionnaire are also represented using SDC Questionnaire, SDC QuestionnaireResponse and SDOHCC Screening Response Observation.
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: 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: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) SDOH-Con-1: Can only have a max of one asserter. (`extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1`) SDOH-Con-2: At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern (`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`) SDOH-Con-3: At least one Condition.category SHALL be sdoh (`category.where(coding.where(system = 'http://hl7.org/fhir/us/core/CodeSystem/us-core-category' and code='sdoh').exists()).exists()`) con-3: 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: 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: 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())
2. Condition.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Condition.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource last changedWhen the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Condition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Condition.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Condition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Condition.extension:asserterDevice
Slice Name | asserterDevice
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1, SDOH-Con-1
Type | Extension(SDOHCC Extension Condition Asserter) (Extension Type: Reference(Device))
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Condition.extension:assertedDate
Slice Name | assertedDate
Definition | When the asserter identified the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept that may have risen to a level of or remains a concern. For example, when the patient experiences chest pain, the asserted date represents when the clinician began following the chest pain - not when the patient experienced the chest pain. Asserted date supports the recognition that information is not always entered in a system immediately. Assertion and recording are different acts, so asserted date and recorded date are semantically different. However, they may be the same date and close in time. If this difference is significant for your use case, assertion date may be useful.
Short | Date the condition was first asserted
Comments | The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate.
Control | 0..1
Type | Extension(Condition Asserted Date) (Extension Type: dateTime)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Condition.clinicalStatus
Definition | The clinical status of the condition.
Short | active | recurrence | relapse | inactive | remission | resolved
Comments | The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 0..1 This element is affected by the following invariants: con-3, con-4, con-5
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-clinical` )
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Condition.verificationStatus
Definition | The verification status to support the clinical status of the condition.
Short | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Comments | verificationStatus is not required. For example, when a patient complains of stress during a provider encounter, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. For SDOH conditions that are autogenerated based on a questionnaire response, the Condition.asserter is a “Device” AND Condition.Category should be "health-concern". In that case, Condition.verificationStatus should be "unconfirmed" and should be changed to “confirmed” only after review and concurrence by the provider and patient. 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. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 0..1 This element is affected by the following invariants: con-3, con-5
Binding | The codes SHALL be taken from ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-ver-status` )
Type | CodeableConcept
Is Modifier | true because 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.
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Condition.category
Definition | A category assigned to the condition.
Short | category codesproblem-list-item | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 20..* This element is affected by the following invariants: SDOH-Con-2
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/condition-category|4.0.1` ) A category assigned to the condition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Condition.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
22. Condition.category:encounter-diagnosis
Slice Name | encounter-diagnosis
Definition | A category assigned to the condition.
Short | encounter-diagnosisproblem-list-item | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..1*
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/condition-category|4.0.1` ) A category assigned to the condition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Condition.category:problem-or-health-concern
Slice Name | problem-or-health-concern
Definition | A category assigned to the condition.
Short | problem-list-item | health-concernproblem-list-item | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..*
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from USCoreProblemOrHealthConcern (7.0.0)http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Condition.category:screening-assessment
Slice Name | screening-assessment
Definition | Categories that a provider may use in their workflow to classify that this Condition is related to a USCDI Health Status/Assessments Data Class. A category assigned to the condition.
Short | USCDI Health Status/Assessments Data Class. Requires at least a category code 'sdoh'problem-list-item | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 10..* This element is affected by the following invariants: SDOH-Con-3
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from USCoreScreeningAssessmentConditionCategory (7.0.0)http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Requirements | Used for filtering condition
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Condition.category:SDOHCC
Slice Name | SDOHCC
Definition | An SDOH category assigned to the condition. A category assigned to the condition.
Short | e.g., food-insecurity | transportation-insecurityproblem-list-item | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..*
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from SDOHCC ValueSet SDOH Category http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (required to `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` ) Codes for high-level SDOH categories. A category assigned to the condition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Requirements | Codes from this value set can be used to assign one or more SDOH categories (e.g., food-insecurity, transportation-insecurity, etc.) to a condition. It is recommended that SDOH category codes be used to facilitate searching for SDOH conditions.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Condition.code
Definition | Identification of the condition, problem or diagnosis.
Short | Identification of the condition, problem or diagnosis
Control | 10..1
Binding | The codes SHALL be taken from For example codes, see USCoreConditionCodes (7.0.0)http://hl7.org/fhir/ValueSet/condition-code|4.0.1 (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0` ) Valueset to describe the actual problem experienced by the patient Identification of the condition or diagnosis.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | Code is required and must be selected from the bound value set. 0..1 to account for primarily narrative only resources.
Alternate Names | type
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Condition.bodySite
Definition | The anatomical location where this condition manifests itself.
Short | Anatomical location, if relevant
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 bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Control | 0..0*
Binding | For example codes, see SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site|4.0.1 (example to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` ) Codes describing anatomical locations. May include laterality.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Condition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Who has the condition?
Control | 1..1
Type | Reference(US Core Patient Profile, Patient, Group)
Is Modifier | false
Must Support | true
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Condition.encounter
Definition | The Encounter during which this Condition was created or to which the creation of this record is tightly associated.
Short | Encounter created as part of
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. 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".
Control | 0..1
Type | Reference(US Core Encounter Profile, Encounter)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Condition.onset[x]
Definition | Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Short | Estimated or actual date, date-time, or age
Comments | Age is generally used when the patient reports an age at which the Condition began to occur.
Control | 0..1
Type | Choice of: dateTime, Period, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Condition.abatement[x]
Definition | The estimated or actual dateTime or Period that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution". 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.
Short | When in resolution/remission
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. 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. For SDOH Conditions that have a fuzzy abatement period, a lower precision representation (e.g., month/year or year) may be used. However, for SDOH Conditions that end at a specific point in time (e.g., food insecurity may abate upon acquiring a new job or gaining eligibility to a food program) a higher precision representation (e.g., year/month/date) may also be used. 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.
Control | 0..1 This element is affected by the following invariants: con-4
Type | Choice of: dateTime, Period, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Condition.recordedDate
Definition | The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
Short | Date record was first recorded
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Condition.recorder
Definition | Individual who recorded the record and takes responsibility for its content.
Short | Who recorded the condition
Control | 0..1
Type | Reference(Practitioner, PractitionerRole, Practitioner, PractitionerRole, Patient, RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Condition.asserter
Definition | The individual or device making the condition statement. Individual who is making the condition statement.
Short | Person or device that asserts this conditionPerson who asserts this condition
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. For a condition that is autogenerated based on the patient directly answering a specific question from an SDOH screening questionnaire, the Condition.asserter should be the patient. For a condition that is autogenerated based on a computation that uses the patient’s answers to multiple questions, Condition.asserter should reference “Device” (using the using AsserterDevice extension) to specify the device used to compute the condition.
Control | 0..1 This element is affected by the following invariants: SDOH-Con-1
Type | Reference(RelatedPerson, US Core Patient Profile, US Core Practitioner Profile, SDOHCC PractitionerRole, Practitioner, PractitionerRole, Patient, RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Condition.stage
Definition | Clinical stage or grade of a condition. May include formal severity assessments.
Short | Stage/grade, usually assessed formally
Control | 0..0*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-1: Stage SHALL have summary or assessment (`summary.exists() or assessment.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) con-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
51. Condition.evidence
Definition | Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Short | Supporting evidence
Comments | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) con-2: evidence SHALL have code or details (code.exists() or detail.exists())
53. Condition.evidence.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
55. Condition.evidence.code
Definition | A manifestation or symptom that led to the recording of this condition.
Short | Manifestation/symptom
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Information represented by Condition.evidence.code may overlap significantly with information represented by Condition.evidence.detail. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar infomation could be provided by either Condition.evidence.code or Condition.evidence.detail, it is recommended that Condition.evidence.detail should be used as supporting evidence for the condition.
Control | 0..* This element is affected by the following invariants: con-2
Binding | For example codes, see ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1 (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1` ) Codes that describe the manifestation or symptoms of a condition.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
57. Condition.evidence.detail
Definition | Links to other relevant information, including pathology reports.
Short | Supporting information found elsewhere
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Additionally, see Comment for Condition.evidence.code.
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(Resource)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Condition.evidence.detail`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ resolve()
59. Condition.evidence.detail:SupportedDetail
Slice Name | SupportedDetail
Definition | Links to other relevant information. Links to other relevant information, including pathology reports.
Short | Supporting information found elsewhere
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(SDOHCC Observation Screening Response, SDOHCC Condition, SDOHCC Observation Assessment, SDC Questionnaire Response, Resource)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | When a condition is based on one or more SDOH observations that were generated from questionnaire responses, Condition.evidence.detail should reference instances that comply with the SDOHCC Observation Screening Response or SDC Questionnaire Response. However, references to other instance types are also possible.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | For representation of SDOH conditions.
Short | Detailed information about SDOH conditions, problems or diagnoses
Comments | Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths (e.g., to arrive at SDOH Conditions) are also possible. One specific use for this profile is to represent a Health Concern that is either; 1) directly asserted based on the patient’s answer to a specific question from an SDOH screening questionnaire or 2) computed/generated based on the patient’s answers to multiple questions. The questions and answers from the screening questionnaire are also represented using SDC Questionnaire, SDC QuestionnaireResponse and SDOHCC Screening Response Observation.
Invariants | SDOH-Con-1: Can only have a max of one asserter. (`extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1`) SDOH-Con-2: At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern (`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`) SDOH-Con-3: At least one Condition.category SHALL be sdoh (`category.where(coding.where(system = 'http://hl7.org/fhir/us/core/CodeSystem/us-core-category' and code='sdoh').exists()).exists()`)
2. Condition.meta
Must Support | true
4. Condition.meta.lastUpdated
Short | When the resource last changed
Must Support | true
6. Condition.extension
Slicing | This element introduces a set of slices on `Condition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. Condition.extension:asserterDevice
Slice Name | asserterDevice
Control | 0..1 This element is affected by the following invariants: SDOH-Con-1
Type | Extension(SDOHCC Extension Condition Asserter) (Extension Type: Reference(Device))
Must Support | true
10. Condition.extension:assertedDate
Slice Name | assertedDate
Short | Date the condition was first asserted
Control | 0..1
Type | Extension(Condition Asserted Date) (Extension Type: dateTime)
Must Support | true
12. Condition.clinicalStatus
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/condition-clinical` )
Must Support | true
14. Condition.verificationStatus
Comments | verificationStatus is not required. For example, when a patient complains of stress during a provider encounter, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. For SDOH conditions that are autogenerated based on a questionnaire response, the Condition.asserter is a “Device” AND Condition.Category should be "health-concern". In that case, Condition.verificationStatus should be "unconfirmed" and should be changed to “confirmed” only after review and concurrence by the provider and patient.
Binding | The codes SHALL be taken from ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status` )
Must Support | true
16. Condition.category
Short | category codes
Control | 2..? This element is affected by the following invariants: SDOH-Con-2
Must Support | true
Slicing | This element introduces a set of slices on `Condition.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
18. Condition.category:encounter-diagnosis
Slice Name | encounter-diagnosis
Short | encounter-diagnosis
Control | 0..1
Must Support | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }`
20. Condition.category:problem-or-health-concern
Slice Name | problem-or-health-concern
Short | problem-list-item | health-concern
Control | 0..*
Binding | The codes SHALL be taken from USCoreProblemOrHealthConcern (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern|7.0.0` )
Must Support | true
22. Condition.category:screening-assessment
Slice Name | screening-assessment
Definition | Categories that a provider may use in their workflow to classify that this Condition is related to a USCDI Health Status/Assessments Data Class.
Short | USCDI Health Status/Assessments Data Class. Requires at least a category code 'sdoh'
Control | 1..* This element is affected by the following invariants: SDOH-Con-3
Binding | The codes SHALL be taken from USCoreScreeningAssessmentConditionCategory (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category|7.0.0` )
Must Support | true
Requirements | Used for filtering condition
24. Condition.category:SDOHCC
Slice Name | SDOHCC
Definition | An SDOH category assigned to the condition.
Short | e.g., food-insecurity | transportation-insecurity
Control | 0..*
Binding | The codes SHALL be taken from SDOHCC ValueSet SDOH Category (required to `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` ) Codes for high-level SDOH categories.
Must Support | true
Requirements | Codes from this value set can be used to assign one or more SDOH categories (e.g., food-insecurity, transportation-insecurity, etc.) to a condition. It is recommended that SDOH category codes be used to facilitate searching for SDOH conditions.
26. Condition.code
Control | 1..?
Binding | The codes SHALL be taken from USCoreConditionCodes (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0` ) Valueset to describe the actual problem experienced by the patient
Must Support | true
Requirements | Code is required and must be selected from the bound value set.
28. Condition.bodySite
Control | 0..0
30. Condition.subject
Type | Reference(US Core Patient Profile)
Must Support | true
32. Condition.encounter
Type | Reference(US Core Encounter Profile)
Must Support | true
34. Condition.onset[x]
Type | Choice of: dateTime, Period, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
36. Condition.abatement[x]
Definition | The estimated or actual dateTime or Period that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution".
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. 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. For SDOH Conditions that have a fuzzy abatement period, a lower precision representation (e.g., month/year or year) may be used. However, for SDOH Conditions that end at a specific point in time (e.g., food insecurity may abate upon acquiring a new job or gaining eligibility to a food program) a higher precision representation (e.g., year/month/date) may also be used.
Type | Choice of: dateTime, Period, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
38. Condition.recordedDate
Must Support | true
40. Condition.recorder
Type | Reference(Practitioner, PractitionerRole)
42. Condition.asserter
Definition | The individual or device making the condition statement.
Short | Person or device that asserts this condition
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. For a condition that is autogenerated based on the patient directly answering a specific question from an SDOH screening questionnaire, the Condition.asserter should be the patient. For a condition that is autogenerated based on a computation that uses the patient’s answers to multiple questions, Condition.asserter should reference “Device” (using the using AsserterDevice extension) to specify the device used to compute the condition.
Type | Reference(RelatedPerson, US Core Patient Profile, US Core Practitioner Profile, SDOHCC PractitionerRole)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
44. Condition.stage
Control | 0..0
46. Condition.evidence
Must Support | true
48. Condition.evidence.code
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Information represented by Condition.evidence.code may overlap significantly with information represented by Condition.evidence.detail. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar infomation could be provided by either Condition.evidence.code or Condition.evidence.detail, it is recommended that Condition.evidence.detail should be used as supporting evidence for the condition.
50. Condition.evidence.detail
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Additionally, see Comment for Condition.evidence.code.
Slicing | This element introduces a set of slices on `Condition.evidence.detail`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ resolve()
52. Condition.evidence.detail:SupportedDetail
Slice Name | SupportedDetail
Definition | Links to other relevant information.
Control | 0..*
Type | Reference(SDOHCC Observation Screening Response, SDOHCC Condition, SDOHCC Observation Assessment, SDC Questionnaire Response)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Requirements | When a condition is based on one or more SDOH observations that were generated from questionnaire responses, Condition.evidence.detail should reference instances that comply with the SDOHCC Observation Screening Response or SDC Questionnaire Response. However, references to other instance types are also possible.

Guidance on how to interpret the contents of this table can be foundhere

0. Condition
Definition | For representation of SDOH conditions.
Short | Detailed information about SDOH conditions, problems or diagnoses
Comments | Many of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths (e.g., to arrive at SDOH Conditions) are also possible. One specific use for this profile is to represent a Health Concern that is either; 1) directly asserted based on the patient’s answer to a specific question from an SDOH screening questionnaire or 2) computed/generated based on the patient’s answers to multiple questions. The questions and answers from the screening questionnaire are also represented using SDC Questionnaire, SDC QuestionnaireResponse and SDOHCC Screening Response Observation.
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: 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: 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: 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: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) SDOH-Con-1: Can only have a max of one asserter. (`extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1`) SDOH-Con-2: At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern (`category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()`) SDOH-Con-3: At least one Condition.category SHALL be sdoh (`category.where(coding.where(system = 'http://hl7.org/fhir/us/core/CodeSystem/us-core-category' and code='sdoh').exists()).exists()`)
2. Condition.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Condition.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Condition.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
8. Condition.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Condition.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Condition.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Short | Version specific identifier
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Condition.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Condition.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Condition.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Condition.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Condition.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Condition.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Condition.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Condition.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Condition.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
30. Condition.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Condition.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. Condition.extension:asserterDevice
Slice Name | asserterDevice
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Control | 0..1 This element is affected by the following invariants: ele-1, SDOH-Con-1
Type | Extension(SDOHCC Extension Condition Asserter) (Extension Type: Reference(Device))
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Condition.extension:assertedDate
Slice Name | assertedDate
Definition | When the asserter identified the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept that may have risen to a level of or remains a concern. For example, when the patient experiences chest pain, the asserted date represents when the clinician began following the chest pain - not when the patient experienced the chest pain. Asserted date supports the recognition that information is not always entered in a system immediately. Assertion and recording are different acts, so asserted date and recorded date are semantically different. However, they may be the same date and close in time. If this difference is significant for your use case, assertion date may be useful.
Short | Date the condition was first asserted
Comments | The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate.
Control | 0..1
Type | Extension(Condition Asserted Date) (Extension Type: dateTime)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. Condition.identifier
Definition | Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Short | External Ids for this condition
Comments | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Condition.clinicalStatus
Definition | The clinical status of the condition.
Short | active | recurrence | relapse | inactive | remission | resolved
Comments | The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 0..1 This element is affected by the following invariants: con-3, con-4, con-5
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/condition-clinical` )
Type | CodeableConcept
Is Modifier | true because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Condition.verificationStatus
Definition | The verification status to support the clinical status of the condition.
Short | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Comments | verificationStatus is not required. For example, when a patient complains of stress during a provider encounter, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. For SDOH conditions that are autogenerated based on a questionnaire response, the Condition.asserter is a “Device” AND Condition.Category should be "health-concern". In that case, Condition.verificationStatus should be "unconfirmed" and should be changed to “confirmed” only after review and concurrence by the provider and patient.
Control | 0..1 This element is affected by the following invariants: con-3, con-5
Binding | The codes SHALL be taken from ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status` )
Type | CodeableConcept
Is Modifier | true because 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.
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Condition.category
Definition | A category assigned to the condition.
Short | category codes
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 2..* This element is affected by the following invariants: SDOH-Con-2
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-category|4.0.1` ) A category assigned to the condition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Condition.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
46. Condition.category:encounter-diagnosis
Slice Name | encounter-diagnosis
Definition | A category assigned to the condition.
Short | encounter-diagnosis
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-category|4.0.1` ) A category assigned to the condition.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-category", "code" : "encounter-diagnosis" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Condition.category:problem-or-health-concern
Slice Name | problem-or-health-concern
Definition | A category assigned to the condition.
Short | problem-list-item | health-concern
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..*
Binding | The codes SHALL be taken from USCoreProblemOrHealthConcern (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Condition.category:screening-assessment
Slice Name | screening-assessment
Definition | Categories that a provider may use in their workflow to classify that this Condition is related to a USCDI Health Status/Assessments Data Class.
Short | USCDI Health Status/Assessments Data Class. Requires at least a category code 'sdoh'
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 1..* This element is affected by the following invariants: SDOH-Con-3
Binding | The codes SHALL be taken from USCoreScreeningAssessmentConditionCategory (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Requirements | Used for filtering condition
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Condition.category:SDOHCC
Slice Name | SDOHCC
Definition | An SDOH category assigned to the condition.
Short | e.g., food-insecurity | transportation-insecurity
Comments | The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 0..*
Binding | The codes SHALL be taken from SDOHCC ValueSet SDOH Category (required to `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` ) Codes for high-level SDOH categories.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Requirements | Codes from this value set can be used to assign one or more SDOH categories (e.g., food-insecurity, transportation-insecurity, etc.) to a condition. It is recommended that SDOH category codes be used to facilitate searching for SDOH conditions.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Condition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | Subjective severity of condition
Comments | Coding of the severity with a terminology is preferred, where possible.
Control | 0..1
Binding | The codes SHOULD be taken from Condition/DiagnosisSeverity (preferred to `http://hl7.org/fhir/ValueSet/condition-severity|4.0.1` ) A subjective assessment of the severity of the condition as evaluated by the clinician.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Condition.code
Definition | Identification of the condition, problem or diagnosis.
Short | Identification of the condition, problem or diagnosis
Control | 1..1
Binding | The codes SHALL be taken from USCoreConditionCodes (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0` ) Valueset to describe the actual problem experienced by the patient
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | Code is required and must be selected from the bound value set.
Alternate Names | type
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Condition.bodySite
Definition | The anatomical location where this condition manifests itself.
Short | Anatomical location, if relevant
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 bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Control | 0..0
Binding | For example codes, see SNOMEDCTBodyStructures (example to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` ) Codes describing anatomical locations. May include laterality.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Condition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Who has the condition?
Control | 1..1
Type | Reference(US Core Patient Profile)
Is Modifier | false
Must Support | true
Summary | true
Requirements | Group is typically used for veterinary or public health use cases.
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Condition.encounter
Definition | The Encounter during which this Condition was created or to which the creation of this record is tightly associated.
Short | Encounter created as part of
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. 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".
Control | 0..1
Type | Reference(US Core Encounter Profile)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Condition.onset[x]
Definition | Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Short | Estimated or actual date, date-time, or age
Comments | Age is generally used when the patient reports an age at which the Condition began to occur.
Control | 0..1
Type | Choice of: dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Condition.abatement[x]
Definition | The estimated or actual dateTime or Period that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution".
Short | When in resolution/remission
Comments | There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. 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. For SDOH Conditions that have a fuzzy abatement period, a lower precision representation (e.g., month/year or year) may be used. However, for SDOH Conditions that end at a specific point in time (e.g., food insecurity may abate upon acquiring a new job or gaining eligibility to a food program) a higher precision representation (e.g., year/month/date) may also be used.
Control | 0..1 This element is affected by the following invariants: con-4
Type | Choice of: dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Condition.recordedDate
Definition | The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.
Short | Date record was first recorded
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Condition.recorder
Definition | Individual who recorded the record and takes responsibility for its content.
Short | Who recorded the condition
Control | 0..1
Type | Reference(Practitioner, PractitionerRole)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Condition.asserter
Definition | The individual or device making the condition statement.
Short | Person or device that asserts this condition
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. For a condition that is autogenerated based on the patient directly answering a specific question from an SDOH screening questionnaire, the Condition.asserter should be the patient. For a condition that is autogenerated based on a computation that uses the patient’s answers to multiple questions, Condition.asserter should reference “Device” (using the using AsserterDevice extension) to specify the device used to compute the condition.
Control | 0..1 This element is affected by the following invariants: SDOH-Con-1
Type | Reference(RelatedPerson, US Core Patient Profile, US Core Practitioner Profile, SDOHCC PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Condition.stage
Definition | Clinical stage or grade of a condition. May include formal severity assessments.
Short | Stage/grade, usually assessed formally
Control | 0..0
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-1: Stage SHALL have summary or assessment (`summary.exists() or assessment.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Condition.evidence
Definition | Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Short | Supporting evidence
Comments | The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Condition.evidence.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
86. Condition.evidence.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
88. Condition.evidence.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
90. Condition.evidence.code
Definition | A manifestation or symptom that led to the recording of this condition.
Short | Manifestation/symptom
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Information represented by Condition.evidence.code may overlap significantly with information represented by Condition.evidence.detail. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar infomation could be provided by either Condition.evidence.code or Condition.evidence.detail, it is recommended that Condition.evidence.detail should be used as supporting evidence for the condition.
Control | 0..* This element is affected by the following invariants: con-2
Binding | For example codes, see ManifestationAndSymptomCodes (example to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1` ) Codes that describe the manifestation or symptoms of a condition.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Condition.evidence.detail
Definition | Links to other relevant information, including pathology reports.
Short | Supporting information found elsewhere
Comments | References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Additionally, see Comment for Condition.evidence.code.
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(Resource)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Condition.evidence.detail`. The slices areUnordered and Open, and can be differentiated using the following discriminators: profile @ resolve()
94. Condition.evidence.detail:SupportedDetail
Slice Name | SupportedDetail
Definition | Links to other relevant information.
Short | Supporting information found elsewhere
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(SDOHCC Observation Screening Response, SDOHCC Condition, SDOHCC Observation Assessment, SDC Questionnaire Response)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | When a condition is based on one or more SDOH observations that were generated from questionnaire responses, Condition.evidence.detail should reference instances that comply with the SDOHCC Observation Screening Response or SDC Questionnaire Response. However, references to other instance types are also possible.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Condition.note
Definition | Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Short | Additional information about the Condition
Control | 0..*
Type | Annotation
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)