MyHealth@EU Core - Downloaded Version 1.0.0 See the Directory of published versions

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Resource Profile: Condition (Core)

This profile sets minimum expectations for the Condition resource common to most of the use cases.

Usages:

• Refer to this Profile: Procedure (Core)
• Examples for this Profile: Condition/c3d4e5f6-a7b8-9012-cdef-123456789012

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the condition content Binding: eHDSI Language (required)
Slices for extension				Content/Rules for all slices
extension:assertedDate		0..1	(Complex)	Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category	O	0..*	CodeableConcept	Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	OΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Additional Bindings Purpose Documentation eHDSI Illness and Disorder Preferred For cross border data exchange Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required) Constraints: eu-bodysite-1
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
subject	Σ	1..1	Reference(Patient (Core))	Who has the condition?
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	OΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	OC	0..1		When in resolution/remission Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recorder	Σ	0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG

Constraints

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

This structure is derived from ConditionEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses
language		0..1	code	Language of the condition content Binding: eHDSI Language (required)
category	O	0..*	CodeableConcept	Category Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	O	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	BodyStructureReference(5.2.0)	Target anatomic location or structure
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
subject		1..1	Reference(Patient (Core))	Who has the condition?
reference		1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]	O	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Obligations Actor SHOULD:handle MyHealth@EU Handler
abatement[x]	O	0..1	dateTime, Age, Period, Range, string	When in resolution/remission Obligations Actor SHOULD:handle MyHealth@EU Handler
recorder		0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
stage
summary		0..1	CodeableConcept	Most recent Stage Group Binding: eHDSI Condition Stage With Exceptions (required)
type		0..1	CodeableConcept	Staging system used. Binding: eHDSI Condition Stage Type With Exceptions (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG
Condition.stage.summary	Base	required	eHDSI Condition Stage With Exceptions	📦1.0.0	This IG
Condition.stage.type	Base	required	eHDSI Condition Stage Type With Exceptions	📦1.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses 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 condition content Binding: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:assertedDate		0..1	(Complex)	Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category	O	0..*	CodeableConcept	Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	OΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Additional Bindings Purpose Documentation eHDSI Illness and Disorder Preferred For cross border data exchange Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required) Constraints: eu-bodysite-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (Core))	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]	OΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	OC	0..1		When in resolution/remission Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
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 when the condition record was created
recorder	Σ	0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who asserted the 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: eHDSI Condition Stage With Exceptions (required)
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: eHDSI Condition Stage Type With Exceptions (required)
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	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	required	eHDSI Condition Stage With Exceptions	📦1.0.0	This IG
Condition.stage.type	Base	required	eHDSI Condition Stage Type With Exceptions	📦1.0.0	This IG
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from ConditionEuCore

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• BodyStructure (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/bodyStructure-myhealtheu-core)
• Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
• PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
• Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the condition content Binding: eHDSI Language (required)
Slices for extension				Content/Rules for all slices
extension:assertedDate		0..1	(Complex)	Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category	O	0..*	CodeableConcept	Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	OΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Additional Bindings Purpose Documentation eHDSI Illness and Disorder Preferred For cross border data exchange Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required) Constraints: eu-bodysite-1
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
subject	Σ	1..1	Reference(Patient (Core))	Who has the condition?
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	OΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	OC	0..1		When in resolution/remission Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	When in resolution/remission
recorder	Σ	0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses
language		0..1	code	Language of the condition content Binding: eHDSI Language (required)
category	O	0..*	CodeableConcept	Category Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	O	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	BodyStructureReference(5.2.0)	Target anatomic location or structure
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
subject		1..1	Reference(Patient (Core))	Who has the condition?
reference		1..1	string	Literal reference, Relative, internal or absolute URL
onset[x]	O	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Obligations Actor SHOULD:handle MyHealth@EU Handler
abatement[x]	O	0..1	dateTime, Age, Period, Range, string	When in resolution/remission Obligations Actor SHOULD:handle MyHealth@EU Handler
recorder		0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
stage
summary		0..1	CodeableConcept	Most recent Stage Group Binding: eHDSI Condition Stage With Exceptions (required)
type		0..1	CodeableConcept	Staging system used. Binding: eHDSI Condition Stage Type With Exceptions (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG
Condition.stage.summary	Base	required	eHDSI Condition Stage With Exceptions	📦1.0.0	This IG
Condition.stage.type	Base	required	eHDSI Condition Stage Type With Exceptions	📦1.0.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses 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 condition content Binding: eHDSI Language (required)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:assertedDate		0..1	(Complex)	Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category	O	0..*	CodeableConcept	Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHOULD:handle MyHealth@EU Handler
severity		0..1	CodeableConcept	Subjective severity of condition Binding: eHDSI Severity (extensible)
code	OΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required) Additional Bindings Purpose Documentation eHDSI Illness and Disorder Preferred For cross border data exchange Obligations Actor SHOULD:handle MyHealth@EU Handler
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required) Constraints: eu-bodysite-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(BodyStructure (Core))	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (Core))	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]	OΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	OC	0..1		When in resolution/remission Slice: Unordered, Closed by type:$this Obligations Actor SHOULD:handle MyHealth@EU Handler
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 when the condition record was created
recorder	Σ	0..1	Reference(PractitionerRole (Core) | Practitioner (Core) | Patient (Core) | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who asserted the 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: eHDSI Condition Stage With Exceptions (required)
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: eHDSI Condition Stage Type With Exceptions (required)
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	Status	Usage	ValueSet	Version	Source
Condition.language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	extensible	eHDSI Severity	📦9.1.0	MyHealthEu MVC package v9.1
Condition.code	Base	required	eHDSI Problems and Diagnoses With Exceptions	📦1.0.0	This IG
Condition.bodySite	Base	required	eHDSI Body Site With Exceptions	📦1.0.0	This IG
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	required	eHDSI Condition Stage With Exceptions	📦1.0.0	This IG
Condition.stage.type	Base	required	eHDSI Condition Stage Type With Exceptions	📦1.0.0	This IG
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from ConditionEuCore

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• BodyStructure (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/bodyStructure-myhealtheu-core)
• Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
• PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
• Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron