Draft PH Core Implementation Guide
0.2.0 - ci-build
Draft PH Core Implementation Guide
0.2.0 - ci-build
Draft PH Core Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-condition | Version: 0.2.0 | |||
| Draft as of 2026-04-10 | Computable Name: PHCoreCondition | |||
Captures Condition.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | Condition | 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 | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
  clinicalStatus |
?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||
 coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
 text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
 subject |
SΣ | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
| recorder |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | ||||||||
| asserter |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | ||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| summary |
SOC | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
 type |
SO | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
| ||||||||
 coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
SOΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
| 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.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | Condition | Detailed information about conditions, problems or diagnoses | |||||||||
 clinicalStatus |
SO | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
SO | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition | ||||||||
| code |
S | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis | ||||||||
| coding |
S | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
S | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SO | 0..* | CodeableConcept | Anatomical location, if relevant
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
S | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
S | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
| recorder |
0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | |||||||||
| asserter |
0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | |||||||||
| stage |
||||||||||||
| summary |
SO | 0..1 | CodeableConcept | Simple summary (disease specific)
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| type |
SO | 0..1 | CodeableConcept | Kind of staging
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| evidence |
||||||||||||
| code |
SO | 0..* | CodeableConcept | Manifestation/symptom
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||||
| clinicalStatus |
?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
 onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age | |||||||||
| onsetDateTime |
dateTime | |||||||||||
| onsetAge |
Age | |||||||||||
| onsetPeriod |
Period | |||||||||||
| onsetRange |
Range | |||||||||||
| onsetString |
string | |||||||||||
| abatement[x] |
C | 0..1 | When in resolution/remission | |||||||||
| abatementDateTime |
dateTime | |||||||||||
| abatementAge |
Age | |||||||||||
| abatementPeriod |
Period | |||||||||||
| abatementRange |
Range | |||||||||||
| abatementString |
string | |||||||||||
| recordedDate |
Σ | 0..1 | dateTime | Date record was first recorded | ||||||||
| recorder |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | ||||||||
| asserter |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | ||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| summary |
SOC | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||
| type |
SO | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| 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 |
SOΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a 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 | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
| 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.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Must-Support: 26 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 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 | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| clinicalStatus |
?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
| recorder |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | ||||||||
| asserter |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | ||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| summary |
SOC | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| type |
SO | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| code |
SOΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
| 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.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍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. |
| 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()
|
Differential View
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | Condition | Detailed information about conditions, problems or diagnoses | |||||||||
| clinicalStatus |
SO | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
SO | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition | ||||||||
| code |
S | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis | ||||||||
| coding |
S | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
S | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SO | 0..* | CodeableConcept | Anatomical location, if relevant
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
S | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
S | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
| recorder |
0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | |||||||||
| asserter |
0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | |||||||||
| stage |
||||||||||||
| summary |
SO | 0..1 | CodeableConcept | Simple summary (disease specific)
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| type |
SO | 0..1 | CodeableConcept | Kind of staging
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| evidence |
||||||||||||
| code |
SO | 0..* | CodeableConcept | Manifestation/symptom
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||||
| clinicalStatus |
?!SOΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| verificationStatus |
?!SOΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||||||
| severity |
S | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient) | Who has the condition? | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter created as part of | ||||||||
| onset[x] |
Σ | 0..1 | Estimated or actual date, date-time, or age | |||||||||
| onsetDateTime |
dateTime | |||||||||||
| onsetAge |
Age | |||||||||||
| onsetPeriod |
Period | |||||||||||
| onsetRange |
Range | |||||||||||
| onsetString |
string | |||||||||||
| abatement[x] |
C | 0..1 | When in resolution/remission | |||||||||
| abatementDateTime |
dateTime | |||||||||||
| abatementAge |
Age | |||||||||||
| abatementPeriod |
Period | |||||||||||
| abatementRange |
Range | |||||||||||
| abatementString |
string | |||||||||||
| recordedDate |
Σ | 0..1 | dateTime | Date record was first recorded | ||||||||
| recorder |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Who recorded the condition | ||||||||
| asserter |
Σ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson) | Person who asserts this condition | ||||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| summary |
SOC | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||
| type |
SO | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| 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 |
SOΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a 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 | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||
| note |
S | 0..* | Annotation | Additional information about the Condition | ||||||||
| Documentation for this format | ||||||||||||
| 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.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Must-Support: 26 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron