<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="condition-ca-core" />
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2" />
  </extension>
  <url value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core" />
  <version value="1.1.0" />
  <name value="ConditionCACore" />
  <title value="Condition (CA-Core)" />
  <status value="active" />
  <experimental value="false" />
  <date value="2025-08-26" />
  <publisher value="Canada Health Infoway" />
  <contact>
    <name value="National Standards Release Centre" />
    <telecom>
      <system value="url" />
      <value value="http://www.infoway-inforoute.ca" />
    </telecom>
    <telecom>
      <system value="email" />
      <value value="standards@infoway-inforoute.ca" />
    </telecom>
  </contact>
  <description value="This profile applies constraints to the Condition resource for CA Core+ to support recording clinical conditions and health concerns in the pan-Canadian context." />
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166" />
      <code value="CA" />
    </coding>
  </jurisdiction>
  <copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="CACDI" />
    <name value="Canadian Core Data for Interoperability (CACDI)" />
    <comment value="Mapping for ConditionCACore to  Canadian Core Data for Interoperability (CACDI)." />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Condition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
  <derivation value="constraint" />
  <differential>
    <element id="Condition.clinicalStatus">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="Condition.clinicalStatus" />
      <mapping>
        <identity value="CACDI" />
        <map value="Health Concern Clinical Status" />
      </mapping>
    </element>
    <element id="Condition.category">
      <path value="Condition.category" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
      </type>
    </element>
    <element id="Condition.severity">
      <path value="Condition.severity" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://hl7.org/fhir/ValueSet/condition-severity" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="Condition Severity Codes" />
          </extension>
        </extension>
        <strength value="preferred" />
        <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/severitycode" />
      </binding>
    </element>
    <element id="Condition.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="Condition.code" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="Absent or Unknown Codes for Clinical Findings" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/ICD10CA" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="International Classifications of Disease 10 CA Codes" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="https://fhir.infoway-inforoute.ca/ValueSet/ICD9CM" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="International Classifications of Disease 9 CM Codes" />
          </extension>
        </extension>
        <strength value="preferred" />
        <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode" />
      </binding>
      <mapping>
        <identity value="CACDI" />
        <map value="Health Concern(s)" />
      </mapping>
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
      </type>
      <binding>
        <strength value="preferred" />
        <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode" />
      </binding>
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
    </element>
    <element id="Condition.encounter">
      <path value="Condition.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core" />
      </type>
    </element>
    <element id="Condition.onset[x]">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="MAY:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="Condition.onset[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <comment value="onsetDateTime is the preferred datatype for this element. Systems receiving are expected to process and store the onsetDateTime. Other types may be used depending on context." />
    </element>
    <element id="Condition.onset[x]:onsetDateTime">
      <path value="Condition.onset[x]" />
      <sliceName value="onsetDateTime" />
      <comment value="onsetDateTime is constrained in IPS and PS-CA and is likely the most practical element to be captured in a given system." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Condition.recordedDate">
      <path value="Condition.recordedDate" />
      <mapping>
        <identity value="CACDI" />
        <map value="Health Concern Date of Diagnosis" />
      </mapping>
    </element>
    <element id="Condition.recorder">
      <path value="Condition.recorder" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
    </element>
    <element id="Condition.asserter">
      <path value="Condition.asserter" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
    </element>
  </differential>
</StructureDefinition>