MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Condition: HDR

This profile represents the constraint applied to the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

This profile constrains the Condition resource for the purpose of the MyHealth@EU HDR.

Usages:

• Use this Profile: Bundle: HDR
• Refer to this Profile: Composition: HDR
• Examples for this Profile: Condition/ExampleConditionHdr

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuHdr	Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Obligations Actor SHALL:handle HDR Handler
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!OΣC	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Obligations Actor SHALL:handle HDR Handler
verificationStatus	?!ΣC	0..1	CodeableConceptIPS	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
category:treated		0..1	CodeableConceptIPS	Treated or untreated Binding: eHDSI Treatment Class (required)
code	OΣ	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	OΣ	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	Who has the condition?
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	OΣ	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:poa	required	EHDSIConditionPOA http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treated	required	EHDSITreatmentClass http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ConditionEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			ConditionEuHdr	This profile also imposes the profile Condition (IPS)
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	BodyStructureReference(5.2.0)	Target anatomic location or structure Obligations Actor SHALL:handle HDR Handler
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
clinicalStatus	O	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Obligations Actor SHALL:handle HDR Handler
Slices for category				Content/Rules for all slices
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA
category:treated		0..1	CodeableConceptIPS	Treated or untreated
code	O	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	O	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject		1..1	Reference(Patient: HDR)	Who has the condition?
Slices for onset[x]				Content/Rules for all slices
onset[x]:onsetDateTime	O	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuHdr	Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite	O	0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Obligations Actor SHALL:handle HDR Handler
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!OΣC	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Obligations Actor SHALL:handle HDR Handler
verificationStatus	?!ΣC	0..1	CodeableConceptIPS	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
category:treated		0..1	CodeableConceptIPS	Treated or untreated Binding: eHDSI Treatment Class (required)
severity		0..1	CodeableConceptIPS	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code	OΣ	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	OΣ	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	OΣ	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:poa	required	EHDSIConditionPOA http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treated	required	EHDSITreatmentClass http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ConditionEuHdr

Summary

Structures

This structure refers to these other structures:

• Body structure: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/bodyStructure-hdr-myhealtheu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuHdr	Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Obligations Actor SHALL:handle HDR Handler
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!OΣC	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Obligations Actor SHALL:handle HDR Handler
verificationStatus	?!ΣC	0..1	CodeableConceptIPS	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
category:treated		0..1	CodeableConceptIPS	Treated or untreated Binding: eHDSI Treatment Class (required)
code	OΣ	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	OΣ	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	Who has the condition?
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	OΣ	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:poa	required	EHDSIConditionPOA http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treated	required	EHDSITreatmentClass http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from ConditionEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition			ConditionEuHdr	This profile also imposes the profile Condition (IPS)
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	BodyStructureReference(5.2.0)	Target anatomic location or structure Obligations Actor SHALL:handle HDR Handler
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
clinicalStatus	O	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Obligations Actor SHALL:handle HDR Handler
Slices for category				Content/Rules for all slices
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA
category:treated		0..1	CodeableConceptIPS	Treated or untreated
code	O	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	O	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject		1..1	Reference(Patient: HDR)	Who has the condition?
Slices for onset[x]				Content/Rules for all slices
onset[x]:onsetDateTime	O	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuHdr	Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	O	0..1	Narrative	Problem description Obligations Actor SHALL:handle HDR Handler
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite	O	0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Obligations Actor SHALL:handle HDR Handler
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: HDR)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!OΣC	0..1	CodeableConceptIPS	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) Obligations Actor SHALL:handle HDR Handler
verificationStatus	?!ΣC	0..1	CodeableConceptIPS	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category		0..*	CodeableConceptIPS	category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa		0..1	CodeableConceptIPS	POA, HAC, NA Binding: eHDSI Condition Present On Admission (required)
category:treated		0..1	CodeableConceptIPS	Treated or untreated Binding: eHDSI Treatment Class (required)
severity		0..1	CodeableConceptIPS	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code	OΣ	1..1	CodeableConceptIPS	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHALL:handle HDR Handler
bodySite	OΣ	0..*	CodeableConceptIPS	Anatomical location, if relevant Binding: eHDSI Body Site with exceptions (required) Obligations Actor SHALL:handle HDR Handler
subject	Σ	1..1	Reference(Patient: HDR)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1	dateTime	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime	OΣ	0..1	dateTime	Estimated or actual date, date-time, or age Obligations Actor SHALL:handle HDR Handler
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:poa	required	EHDSIConditionPOA http://terminology.ehdsi.eu/ValueSet/eHDSIConditionPOA
Condition.category:treated	required	EHDSITreatmentClass http://terminology.ehdsi.eu/ValueSet/eHDSITreatmentClass
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	EHDSIProblemWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIProblemWithExceptions From this IG
Condition.bodySite	required	EHDSIBodySiteWithExceptions http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIBodySiteWithExceptions From this IG
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ConditionEuHdr

Summary

Structures

This structure refers to these other structures:

• Body structure: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/bodyStructure-hdr-myhealtheu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient: HDR (http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron