MyHealth@Eu Hospital Discharge Report
9.1.1 - qa-preview 150

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Condition: HDR

Official URL: http://fhir.ehdsi.eu/hdr/StructureDefinition/condition-hdr-myhealtheu | Version: 9.1.1
Standards status: Draft | Maturity Level: 1 | Computable Name: ConditionHdrMyHealthEu

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

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..* | ConditionEuHdr | Detailed information about conditions, problems or diagnoses This profile also imposes the profile Condition (IPS) (2.0.0) Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Problem description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | (Complex) | Body site reference 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(Body structure (EU base)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category |  | 0..* | CodeableConceptIPS(2.0.0) | category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA Binding: eHDSI Condition Present on Admission (required)
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated Binding: eHDSI Treatment Class (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who has the condition?
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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] | 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 | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.category:poa | Base | required | eHDSI Condition Present on Admission | 📦9.1.0 | This IG
Condition.category:treated | Base | required | eHDSI Treatment Class | 📦9.1.0 | This IG
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

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

This structure is derived from ConditionEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  |  | ConditionEuHdr | This profile also imposes the profile Condition (IPS) (2.0.0)
text |  | 0..1 | Narrative | Problem description
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | BodyStructureReference(5.2.0) | Body site reference
clinicalStatus |  | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved
Slices for category |  |  |  | Content/Rules for all slices
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite |  | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject |  | 1..1 | Reference(Patient (Core)) | Who has the condition?
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

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) (2.0.0) 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 |  | 0..1 | Narrative | Problem description 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:bodySite |  | 0..1 | (Complex) | Body site reference 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(Body structure (EU base)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category |  | 0..* | CodeableConceptIPS(2.0.0) | category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA Binding: eHDSI Condition Present on Admission (required)
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated Binding: eHDSI Treatment Class (required)
severity |  | 0..1 | CodeableConceptIPS(2.0.0) | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who has the condition?
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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] | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.category:poa | Base | required | eHDSI Condition Present on Admission | 📦9.1.0 | This IG
Condition.category:treated | Base | required | eHDSI Treatment Class | 📦9.1.0 | This IG
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📦4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConditionEuHdr

Summary

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

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) (2.0.0) Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Problem description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | (Complex) | Body site reference 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(Body structure (EU base)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category |  | 0..* | CodeableConceptIPS(2.0.0) | category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA Binding: eHDSI Condition Present on Admission (required)
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated Binding: eHDSI Treatment Class (required)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who has the condition?
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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] | 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 | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.category:poa | Base | required | eHDSI Condition Present on Admission | 📦9.1.0 | This IG
Condition.category:treated | Base | required | eHDSI Treatment Class | 📦9.1.0 | This IG
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

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

Differential View

This structure is derived from ConditionEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  |  | ConditionEuHdr | This profile also imposes the profile Condition (IPS) (2.0.0)
text |  | 0..1 | Narrative | Problem description
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite |  | 0..1 | BodyStructureReference(5.2.0) | Body site reference
clinicalStatus |  | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved
Slices for category |  |  |  | Content/Rules for all slices
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated
code |  | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite |  | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject |  | 1..1 | Reference(Patient (Core)) | Who has the condition?
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

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) (2.0.0) 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 |  | 0..1 | Narrative | Problem description 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:bodySite |  | 0..1 | (Complex) | Body site reference 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(Body structure (EU base)) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!Σ C | 0..1 | CodeableConceptIPS(2.0.0) | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category |  | 0..* | CodeableConceptIPS(2.0.0) | category codes Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:poa |  | 0..1 | CodeableConceptIPS(2.0.0) | POA, HAC, NA Binding: eHDSI Condition Present on Admission (required)
category:treated |  | 0..1 | CodeableConceptIPS(2.0.0) | Treated or untreated Binding: eHDSI Treatment Class (required)
severity |  | 0..1 | CodeableConceptIPS(2.0.0) | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the condition, problem or diagnosis Binding: eHDSI Problems and Diagnoses With Exceptions (required)
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Anatomical location, if relevant Binding: eHDSI Body Site With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who has the condition?
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices for onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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] | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.category:poa | Base | required | eHDSI Condition Present on Admission | 📦9.1.0 | This IG
Condition.category:treated | Base | required | eHDSI Treatment Class | 📦9.1.0 | This IG
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | eHDSI Problems and Diagnoses With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.bodySite | Base | required | eHDSI Body Site With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📦4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConditionEuHdr

Summary

Structures

This structure refers to these other structures:

- Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron