Copy of 'GP Connect Data Model | FHIR STU3 Representation'

Profile: CareConnect-GPC-ProblemHeader-Condition-1

CareConnect-GPC-ProblemHeader-Condition-1 (Condition)

There are no (further) constraints on this element

Element id

Condition

Short description

Detailed information about conditions, problems or diagnoses

Definition

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Data type

Condition

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: 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-3: 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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
con-5: 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()
con-4: 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-3: 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()

Mappings

rim: Entity. Role, or Act
workflow: Event
sct-concept: < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
v2: PPR message
rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]

0..1

There are no (further) constraints on this element

Element id

Condition.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Meta

There are no (further) constraints on this element

Element id

Condition.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.meta.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

versionId

0..1

There are no (further) constraints on this element

Element id

Condition.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

lastUpdated

0..1

instant

There are no (further) constraints on this element

Element id

Condition.meta.lastUpdated

Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Data type

instant

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

source

0..1

uri

There are no (further) constraints on this element

Element id

Condition.meta.source

Short description

Identifies where the resource comes from

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

profile

1..*

canonical(StructureDefinition)

There are no (further) constraints on this element

Element id

Condition.meta.profile

Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Data type

canonical(StructureDefinition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Condition.meta.security

Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

AllSecurityLabels (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

tag

0..*

Coding

There are no (further) constraints on this element

Element id

Condition.meta.tag

Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

Condition.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Condition.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

MaxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

Condition.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

Condition.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

actualProblem

S C

0..1

Extension(Reference(CareConnect-GPC-AllergyIntolerance-1)Reference(CareConnect-GPC-Condition-1)Reference(CareConnect-GPC-Observation-1)Reference(CareConnect-GPC-Immunization-1)Reference(CareConnect-GPC-DiagnosticReport-1)Reference(CareConnect-GPC-MedicationStatement-1)Reference(CareConnect-GPC-ReferralRequest-1)Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1))

Element id

Condition.extension:actualProblem

Short description

A reference to a resource that is the actual problem

Alternate names

extensions, user content

Definition

A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem.

Comments

Data type

Extension URL

Extension-CareConnect-GPC-ActualProblem-1

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

relatedProblemHeader

S C

0..*

Extension(Complex)

Element id

Condition.extension:relatedProblemHeader

Short description

Related problem header condition (target)

Alternate names

extensions, user content

Definition

Related problem header condition (target).

Comments

Data type

Extension(Complex)

Extension URL

Extension-CareConnect-RelatedProblemHeader-1

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

1..*

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

type

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:type

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:type.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..0

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:type.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:type.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type

uri

Fixed value

type

Mappings

rim: N/A

value[x]

0..1

Binding

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:type.value[x]

Short description

Condition relationship type

Definition

Condition relationship type.

Binding

A set of codes specifying the kind of relationship that exists with a target problem header condition.

(unbound) (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

valueCode

code

There are no (further) constraints on this element

Data type

code

target

1..1

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:target

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:target.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..0

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:target.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:target.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

uri

Fixed value

target

Mappings

rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.extension:target.value[x]

Short description

Target problem header condition

Definition

Target problem header condition.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

valueReference

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProblemHeader-Condition-1)

There are no (further) constraints on this element

Data type

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProblemHeader-Condition-1)

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

uri

Fixed value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1

Mappings

rim: N/A

value[x]

0..0

There are no (further) constraints on this element

Element id

Condition.extension:relatedProblemHeader.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

problemSignificance

S C

0..*

Extension

Element id

Condition.extension:problemSignificance

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Extension URL

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.extension:problemSignificance.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.extension:problemSignificance.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

Element id

Condition.extension:problemSignificance.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

uri

Fixed value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1

Mappings

rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

Condition.extension:problemSignificance.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

valueAddress

Address

There are no (further) constraints on this element

Data type

Address

valueAge

Age

There are no (further) constraints on this element

Data type

Age

valueAnnotation

Annotation

There are no (further) constraints on this element

Data type

Annotation

valueAttachment

Attachment

There are no (further) constraints on this element

Data type

Attachment

valueBase64Binary

base64Binary

There are no (further) constraints on this element

Data type

base64Binary

valueBoolean

boolean

There are no (further) constraints on this element

Data type

boolean

valueCanonical

canonical

There are no (further) constraints on this element

Data type

canonical

valueCode

code

There are no (further) constraints on this element

Data type

code

valueCodeableConcept

CodeableConcept

There are no (further) constraints on this element

Data type

CodeableConcept

valueCoding

Coding

There are no (further) constraints on this element

Data type

Coding

valueContactDetail

ContactDetail

There are no (further) constraints on this element

Data type

ContactDetail

valueContactPoint

ContactPoint

There are no (further) constraints on this element

Data type

ContactPoint

valueContributor

Contributor

There are no (further) constraints on this element

Data type

Contributor

valueCount

Count

There are no (further) constraints on this element

Data type

Count

valueDataRequirement

DataRequirement

There are no (further) constraints on this element

Data type

DataRequirement

valueDate

date

There are no (further) constraints on this element

Data type

date

valueDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

valueDecimal

decimal

There are no (further) constraints on this element

Data type

decimal

valueDistance

Distance

There are no (further) constraints on this element

Data type

Distance

valueDosage

Dosage

There are no (further) constraints on this element

Data type

Dosage

valueDuration

Duration

There are no (further) constraints on this element

Data type

Duration

valueExpression

Expression

There are no (further) constraints on this element

Data type

Expression

valueHumanName

HumanName

There are no (further) constraints on this element

Data type

HumanName

valueId

There are no (further) constraints on this element

Data type

valueIdentifier

Identifier

There are no (further) constraints on this element

Data type

Identifier

valueInstant

instant

There are no (further) constraints on this element

Data type

instant

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valueMarkdown

markdown

There are no (further) constraints on this element

Data type

markdown

valueMeta

Meta

There are no (further) constraints on this element

Data type

Meta

valueMoney

Money

There are no (further) constraints on this element

Data type

Money

valueOid

oid

There are no (further) constraints on this element

Data type

oid

valueParameterDefinition

ParameterDefinition

There are no (further) constraints on this element

Data type

ParameterDefinition

valuePeriod

Period

There are no (further) constraints on this element

Data type

Period

valuePositiveInt

positiveInt

There are no (further) constraints on this element

Data type

positiveInt

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueRange

Range

There are no (further) constraints on this element

Data type

Range

valueRatio

Ratio

There are no (further) constraints on this element

Data type

Ratio

valueReference

Reference

There are no (further) constraints on this element

Data type

Reference

valueRelatedArtifact

RelatedArtifact

There are no (further) constraints on this element

Data type

RelatedArtifact

valueSampledData

SampledData

There are no (further) constraints on this element

Data type

SampledData

valueSignature

Signature

There are no (further) constraints on this element

Data type

Signature

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueTiming

Timing

There are no (further) constraints on this element

Data type

Timing

valueTriggerDefinition

TriggerDefinition

There are no (further) constraints on this element

Data type

TriggerDefinition

valueUnsignedInt

unsignedInt

There are no (further) constraints on this element

Data type

unsignedInt

valueUri

uri

There are no (further) constraints on this element

Data type

uri

valueUrl

url

There are no (further) constraints on this element

Data type

url

valueUsageContext

UsageContext

There are no (further) constraints on this element

Data type

UsageContext

valueUuid

uuid

There are no (further) constraints on this element

Data type

uuid

relatedClinicalContent

S C

0..*

Extension

Element id

Condition.extension:relatedClinicalContent

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Extension URL

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

string

There are no (further) constraints on this element

Element id

Condition.extension:relatedClinicalContent.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.extension:relatedClinicalContent.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

Element id

Condition.extension:relatedClinicalContent.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

uri

Fixed value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1

Mappings

rim: N/A

value[x]

0..1

There are no (further) constraints on this element

Element id

Condition.extension:relatedClinicalContent.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

valueAddress

Data type

valueAge

Data type

valueAnnotation

Data type

valueAttachment

Data type

valueBase64Binary

Data type

valueBoolean

Data type

valueCode

Data type

valueCodeableConcept

Data type

valueCoding

Data type

valueContactPoint

Data type

valueCount

Data type

valueDate

Data type

valueDateTime

Data type

valueDecimal

Data type

valueDistance

Data type

valueDuration

Data type

valueHumanName

Data type

valueId

Data type

valueIdentifier

Data type

valueInstant

Data type

valueInteger

Data type

valueMarkdown

Data type

valueMeta

Data type

valueMoney

Data type

valueOid

Data type

valuePeriod

Data type

valuePositiveInt

Data type

valueQuantity

Data type

valueRange

Data type

valueRatio

Data type

valueReference

Data type

valueSampledData

Data type

valueSignature

Data type

valueString

Data type

valueTime

Data type

valueTiming

Data type

valueUnsignedInt

Data type

valueUri

Data type

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

1..*

Identifier

There are no (further) constraints on this element

Element id

Condition.identifier

Short description

External Ids for this condition

Definition

Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
rim: .id

0..1

string

There are no (further) constraints on this element

Element id

Condition.identifier.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Condition.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Condition.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

system

1..1

uri

There are no (further) constraints on this element

Element id

Condition.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

Condition.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

Σ C

0..1

Period

There are no (further) constraints on this element

Element id

Condition.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

Σ C

0..1

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)

Element id

Condition.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

clinicalStatus

Σ ?! C

1..1

CodeableConceptBinding

Element id

Condition.clinicalStatus

Short description

active | inactive

Definition

The clinical status of the condition.

Comments

The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Data type

CodeableConcept

Binding

The clinical status of the condition or diagnosis.

ConditionClinicalStatusCodes (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-4, con-5

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.status
w5: FiveWs.status
sct-concept: < 303105007 |Disease phases|
v2: PRB-14
rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value

verificationStatus

Σ ?! C

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Condition.verificationStatus

Short description

Definition

The verification status to support the clinical status of the condition.

Comments

verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Data type

CodeableConcept

Binding

The verification status to support or decline the clinical status of the condition or diagnosis.

ConditionVerificationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-5

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.status
w5: FiveWs.status
sct-concept: < 410514004 |Finding context value|
v2: PRB-13
rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
sct-attr: 408729009

Meta

There are no (further) constraints on this element

Data type

Meta

valueMoney

Money

There are no (further) constraints on this element

Data type

Money

valueOid

oid

There are no (further) constraints on this element

Data type

oid

valueParameterDefinition

ParameterDefinition

There are no (further) constraints on this element

Data type

ParameterDefinition

valuePeriod

Period

There are no (further) constraints on this element

Data type

Period

valuePositiveInt

positiveInt

There are no (further) constraints on this element

Data type

positiveInt

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueRange

Range

There are no (further) constraints on this element

Data type

Range

valueRatio

Ratio

There are no (further) constraints on this element

Data type

Ratio

valueReference

Reference

There are no (further) constraints on this element

Data type

Reference

valueRelatedArtifact

RelatedArtifact

There are no (further) constraints on this element

Data type

RelatedArtifact

valueSampledData

SampledData

There are no (further) constraints on this element

Data type

SampledData

valueSignature

Signature

There are no (further) constraints on this element

Data type

Signature

valueString

string

There are no (further) constraints on this element

Data type

string

valueTime

time

There are no (further) constraints on this element

Data type

time

valueTiming

Timing

There are no (further) constraints on this element

Data type

Timing

valueTriggerDefinition

TriggerDefinition

There are no (further) constraints on this element

Data type

TriggerDefinition

valueUnsignedInt

unsignedInt

There are no (further) constraints on this element

Data type

unsignedInt

valueUri

uri

There are no (further) constraints on this element

Data type

uri

valueUrl

url

There are no (further) constraints on this element

Data type

url

valueUsageContext

UsageContext

There are no (further) constraints on this element

Data type

UsageContext

valueUuid

uuid

There are no (further) constraints on this element

Data type

uuid

system

1..1

uriFixed Value

Element id

Condition.code.coding:snomedCT.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://snomed.info/sct

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..0

string

There are no (further) constraints on this element

Element id

Condition.code.coding:snomedCT.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

code

There are no (further) constraints on this element

Element id

Condition.code.coding:snomedCT.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

1..1

string

There are no (further) constraints on this element

Element id

Condition.code.coding:snomedCT.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

boolean

There are no (further) constraints on this element

Element id

Condition.code.coding:snomedCT.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

boolean

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

string

There are no (further) constraints on this element

Element id

Condition.code.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

bodySite

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

Condition.bodySite

Short description

Anatomical location, if relevant

Definition

The anatomical location where this condition manifests itself.

Comments

Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

Data type

CodeableConcept

Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 442083009 |Anatomical or acquired body structure|
rim: .targetBodySiteCode
sct-attr: 363698007

subject

Σ C

1..1

Reference(CareConnect-GPC-Patient-1)

Element id

Condition.subject

Short description

Who has the condition?

Alternate names

patient

Definition

Indicates the patient or group who the condition record is associated with.

Requirements

Group is typically used for veterinary or public health use cases.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(CareConnect-GPC-Patient-1)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3
rim: .participation[typeCode=SBJ].role[classCode=PAT]
w5: FiveWs.subject

encounter

Σ C

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

Condition.encounter

Short description

Encounter created as part of

Definition

The Encounter during which this Condition was created or to which the creation of this record is tightly associated.

Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

Data type

Reference(Encounter)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.context
w5: FiveWs.context
v2: PV1-19 (+PV1-54)
rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

onset[x]

S Σ

0..1

There are no (further) constraints on this element

Element id

Condition.onset[x]

Short description

Estimated or actual date, date-time, or age

Definition

Estimated or actual date or date-time the condition began, in the opinion of the clinician.

Comments

Age is generally used when the patient reports an age at which the Condition began to occur.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.init
v2: PRB-16
rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value

onsetAge

Age

There are no (further) constraints on this element

Data type

Age

onsetDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

onsetPeriod

Period

There are no (further) constraints on this element

Data type

Period

onsetRange

Range

There are no (further) constraints on this element

Data type

Range

onsetString

string

There are no (further) constraints on this element

Data type

string

abatement[x]

S C

0..1

There are no (further) constraints on this element

Element id

Condition.abatement[x]

Short description

When in resolution/remission

Definition

The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

Comments

There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
w5: FiveWs.done[x]
rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed

abatementAge

Age

There are no (further) constraints on this element

Data type

Age

abatementDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

abatementPeriod

Period

There are no (further) constraints on this element

Data type

Period

abatementRange

Range

There are no (further) constraints on this element

Data type

Range

abatementString

string

There are no (further) constraints on this element

Data type

string

recordedDate

0..1

dateTime

There are no (further) constraints on this element

Element id

Condition.recordedDate

Short description

Date record was first recorded

Definition

The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
w5: FiveWs.recorded
v2: REL-11
rim: .participation[typeCode=AUT].time

recorder

Σ C

0..1

Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)

There are no (further) constraints on this element

Element id

Condition.recorder

Short description

Who recorded the condition

Definition

Individual who recorded the record and takes responsibility for its content.

Comments

Data type

Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.author
rim: .participation[typeCode=AUT].role

asserter

Σ C

1..1

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Element id

Condition.asserter

Short description

Person who asserts this condition

Definition

Individual who is making the condition statement.

Comments

Data type

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.source
v2: REL-7.1 identifier + REL-7.12 type code
rim: .participation[typeCode=INF].role

stage

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Condition.stage

Short description

Stage/grade, usually assessed formally

Definition

Clinical stage or grade of a condition. May include formal severity assessments.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
con-1: Stage SHALL have summary or assessment
summary.exists() or assessment.exists()

Mappings

rim: n/a
rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]

0..1

string

There are no (further) constraints on this element

Element id

Condition.stage.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.stage.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.stage.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

summary

0..1

CodeableConcept

There are no (further) constraints on this element

Element id

Condition.stage.summary

Short description

Simple summary (disease specific)

Definition

A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

Comments

Data type

CodeableConcept

Binding

Codes describing condition stages (e.g. Cancer stages).

ConditionStage (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 254291000 |Staging and scales|
v2: PRB-14
rim: .value

assessment

0..*

Reference(ClinicalImpression | DiagnosticReport | Observation)

There are no (further) constraints on this element

Element id

Condition.stage.assessment

Short description

Formal record of assessment

Definition

Reference to a formal record of the evidence on which the staging assessment is based.

Comments

Data type

Reference(ClinicalImpression | DiagnosticReport | Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .self

type

0..1

CodeableConcept

There are no (further) constraints on this element

Element id

Condition.stage.type

Short description

Kind of staging

Definition

The kind of staging, such as pathological or clinical staging.

Comments

Data type

CodeableConcept

Binding

Codes describing the kind of condition staging (e.g. clinical or pathological).

ConditionStageType (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]

evidence

0..*

BackboneElement

There are no (further) constraints on this element

Element id

Condition.evidence

Short description

Supporting evidence

Definition

Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

Comments

The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
con-2: evidence SHALL have code or details
code.exists() or detail.exists()

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

Condition.evidence.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.evidence.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.evidence.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

Σ C

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

Condition.evidence.code

Short description

Manifestation/symptom

Definition

A manifestation or symptom that led to the recording of this condition.

Comments

Data type

CodeableConcept

Binding

Codes that describe the manifestation or symptoms of a condition.

ManifestationAndSymptomCodes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.reasonCode
w5: FiveWs.why[x]
sct-concept: < 404684003 |Clinical finding|
rim: [code="diagnosis"].value

detail

Σ C

0..*

Reference(Resource)

There are no (further) constraints on this element

Element id

Condition.evidence.detail

Short description

Supporting information found elsewhere

Definition

Links to other relevant information, including pathology reports.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, con-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.why[x]
rim: .self

note

0..*

Annotation

There are no (further) constraints on this element

Element id

Condition.note

Short description

Additional information about the Condition

Definition

Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act
workflow: Event.note
v2: NTE child of PRB
rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

0..1

string

There are no (further) constraints on this element

Element id

Condition.note.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

Condition.note.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

author[x]

0..1

There are no (further) constraints on this element

Element id

Condition.note.author[x]

Short description

Individual responsible for the annotation

Definition

The individual responsible for making the annotation.

Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.participant[typeCode=AUT].role

authorReference

Reference(RelatedPerson) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)

Data type

Reference(RelatedPerson) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)

authorString

string

Data type

string

time

0..1

dateTime

There are no (further) constraints on this element

Element id

Condition.note.time

Short description

When the annotation was made

Definition

Indicates when this particular annotation was made.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.effectiveTime

text

1..1

markdown

There are no (further) constraints on this element

Element id

Condition.note.text

Short description

The annotation - text content (as markdown)

Definition

The text of the annotation in markdown format.

Comments

Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

Data type

markdown

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.text

context

S C

0..*

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)

Element id

Condition.context

Short description

A reference from one resource to another

Definition

A reference from one resource to another.

Comments

Data type

Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

assertedDate

1..

There are no (further) constraints on this element

Element id

Condition.assertedDate

Condition C

Short Detailed information about conditions, problems or diagnoses

Definition

A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Cardinality 0..*

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: 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-3: 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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
con-5: 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()
con-4: 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-3: 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()

Mappings

rim: Entity. Role, or Act
workflow: Event
sct-concept: < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
v2: PPR message
rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]

Condition.id Σ

Short Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Cardinality 0..1

Type

Summary True

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.meta Σ

Short Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Cardinality 0..1

Type

Meta

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.meta.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.meta.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.meta.versionId Σ

Short Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Cardinality 0..1

Type

Summary True

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.meta.lastUpdated Σ

Short When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Cardinality 0..1

Type

instant

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.meta.source Σ

Short Identifies where the resource comes from

Definition

Cardinality 0..1

Type

uri

Summary True

Comments

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.meta.profile Σ

Short Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Cardinality 1..*

Type canonical(StructureDefinition)

Summary True

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.meta.security Σ

Short Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Cardinality 0..*

Type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

AllSecurityLabels (extensible)

Summary True

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

Condition.meta.tag Σ

Short Tags applied to this resource

Definition

Cardinality 0..*

Type

Coding

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Summary True

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

Condition.implicitRules Σ ?!

Short A set of rules under which this content was created

Definition

Cardinality 0..1

Type

uri

Modifier True

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.language

Short Language of the resource content

Definition

The base language in which the resource is written.

Cardinality 0..1

Type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

MaxValueSet	AllLanguages

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

Condition.text

Short Text summary of the resource, for human interpretation

Definition

Cardinality 0..1

Type

Narrative

Alias narrative, html, xhtml, display

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

Condition.contained

Short Contained, inline Resources

Definition

Cardinality 0..*

Type

Resource

Alias inline resources, anonymous resources, contained resources

Comments

Mappings

rim: Entity. Role, or Act
rim: N/A

Condition.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:actualProblem S C

Short A reference to a resource that is the actual problem

Definition

A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem.

Cardinality 0..1

Type Extension(Reference(CareConnect-GPC-AllergyIntolerance-1)Reference(CareConnect-GPC-Condition-1)Reference(CareConnect-GPC-Observation-1)Reference(CareConnect-GPC-Immunization-1)Reference(CareConnect-GPC-DiagnosticReport-1)Reference(CareConnect-GPC-MedicationStatement-1)Reference(CareConnect-GPC-ReferralRequest-1)Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1))

Must Support True

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader S C

Short Related problem header condition (target)

Definition

Related problem header condition (target).

Cardinality 0..*

Type Extension(Complex)

Must Support True

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.extension:relatedProblemHeader.extension C

Short Additional content defined by implementations

Definition

Cardinality 1..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:type C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:type.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.extension:relatedProblemHeader.extension:type.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..0

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:type.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

type

Mappings

rim: N/A

Condition.extension:relatedProblemHeader.extension:type.value[x]

Short Condition relationship type

Definition

Condition relationship type.

Cardinality 0..1

Type

code

Binding

A set of codes specifying the kind of relationship that exists with a target problem header condition.

(unbound) (required)

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:target C

Short Additional content defined by implementations

Definition

Cardinality 1..1

Type

Extension

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:target.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.extension:relatedProblemHeader.extension:target.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..0

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.extension:target.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

target

Mappings

rim: N/A

Condition.extension:relatedProblemHeader.extension:target.value[x]

Short Target problem header condition

Definition

Target problem header condition.

Cardinality 0..1

Type Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProblemHeader-Condition-1)

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedProblemHeader.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1

Mappings

rim: N/A

Condition.extension:relatedProblemHeader.value[x]

Short Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality 0..0

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.extension:problemSignificance S C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Must Support True

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:problemSignificance.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.extension:problemSignificance.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:problemSignificance.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1

Mappings

rim: N/A

Condition.extension:problemSignificance.value[x]

Short Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality 0..1

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedClinicalContent S C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Must Support True

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedClinicalContent.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.extension:relatedClinicalContent.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.extension:relatedClinicalContent.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1

Mappings

rim: N/A

Condition.extension:relatedClinicalContent.value[x]

Short Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality 0..1

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.modifierExtension ?! C

Short Extensions that cannot be ignored

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Cardinality 0..*

Type

Extension

Modifier True

Alias extensions, user content

Requirements

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.identifier Σ

Short External Ids for this condition

Definition

Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Cardinality 1..*

Type

Identifier

Summary True

Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
rim: .id

Condition.identifier.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.identifier.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.identifier.use Σ ?!

Short usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Cardinality 0..1

Type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Modifier True

Summary True

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

Condition.identifier.type Σ

Short Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Cardinality 0..1

Type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Summary True

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

Condition.identifier.system Σ

Short The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Cardinality 1..1

Type

uri

Summary True

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

Condition.identifier.value Σ

Short The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Cardinality 1..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples

General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

Condition.identifier.period Σ C

Short Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Cardinality 0..1

Type

Period

Summary True

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

Condition.identifier.assigner Σ C

Short Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Cardinality 0..1

Type Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)

Summary True

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

Condition.clinicalStatus Σ ?! C

Short active | inactive

Definition

The clinical status of the condition.

Cardinality 1..1

Type

CodeableConcept

Binding

The clinical status of the condition or diagnosis.

ConditionClinicalStatusCodes (required)

Modifier True

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-4, con-5

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.status
w5: FiveWs.status
sct-concept: < 303105007 |Disease phases|
v2: PRB-14
rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value

Condition.verificationStatus Σ ?! C

Definition

The verification status to support the clinical status of the condition.

Cardinality 0..1

Type

CodeableConcept

Binding

The verification status to support or decline the clinical status of the condition or diagnosis.

ConditionVerificationStatus (required)

Modifier True

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-3, con-5

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.status
w5: FiveWs.status
sct-concept: < 410514004 |Finding context value|
v2: PRB-13
rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
sct-attr: 408729009

Condition.category

Short problem-list-item | encounter-diagnosis | presenting-complaint

Definition

A category assigned to the condition.

Cardinality 1..1

Type

CodeableConcept

Binding

A category assigned to the condition.

ConditionCategoryCodes (required)

Comments

The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.class
sct-concept: < 404684003 |Clinical finding|
v2: 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
rim: .code

Condition.category.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.category.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.category.coding Σ

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..*

Type

Coding

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

Condition.category.coding.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.category.coding.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.category.coding.system Σ

Short Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality 1..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed Value

https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

Condition.category.coding.version Σ

Short Version of the system - if relevant

Definition

Cardinality 0..1

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

Condition.category.coding.code Σ

Short Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality 1..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed Value

problem-list-item

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

Condition.category.coding.display Σ

Short Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality 1..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed Value

Problem List Item

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

Condition.category.coding.userSelected Σ

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..1

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Condition.category.text Σ

Short Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Cardinality 0..1

Type

string

Summary True

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

Condition.severity

Short Subjective severity of condition

Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

Cardinality 0..1

Type

CodeableConcept

Binding

A subjective assessment of the severity of the condition as evaluated by the clinician.

ConditionDiagnosisSeverity (preferred)

Comments

Coding of the severity with a terminology is preferred, where possible.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.grade
sct-concept: < 272141005 |Severities|
v2: PRB-26 / ABS-3
rim: Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
sct-attr: 246112005

Condition.code Σ

Short Identification of the condition, problem or diagnosis

Definition

Identification of the condition, problem or diagnosis.

Cardinality 1..1

Type

CodeableConcept

Binding

Identification of the condition or diagnosis.

ConditionProblemDiagnosisCodes (example)

Summary True

Alias type

Requirements

0..1 to account for primarily narrative only resources.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.what[x]
sct-concept: code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
v2: PRB-3
rim: .value
sct-attr: 246090004

Condition.code.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.code.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.code.coding Σ

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..*

Type

Coding

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Slicing

Unordered, Open, by system(Value)

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

Condition.code.coding:snomedCT Σ

Short Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Cardinality 0..1

Type

Coding

Binding

A code from the SNOMED Clinical Terminology UK

(unbound) (required)

Summary True

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

Condition.code.coding:snomedCT.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.code.coding:snomedCT.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.code.coding:snomedCT.extension:snomedCTDescriptionID C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.url

Short identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1

Type

uri

Comments

Fixed Value

https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Mappings

rim: N/A

Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.value[x]

Short Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality 0..1

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

Condition.code.coding:snomedCT.system Σ

Short Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality 1..1

Type

uri

Summary True

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed Value

http://snomed.info/sct

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

Condition.code.coding:snomedCT.version Σ

Short Version of the system - if relevant

Definition

Cardinality 0..0

Type

string

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

Condition.code.coding:snomedCT.code Σ

Short Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality 1..1

Type

code

Summary True

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

Condition.code.coding:snomedCT.display Σ

Short Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality 1..1

Type

string

Summary True

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

Condition.code.coding:snomedCT.userSelected Σ

Short If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Cardinality 0..1

Type

boolean

Summary True

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

Condition.code.text Σ

Short Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Cardinality 0..1

Type

string

Summary True

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

Condition.bodySite Σ

Short Anatomical location, if relevant

Definition

The anatomical location where this condition manifests itself.

Cardinality 0..*

Type

CodeableConcept

Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 442083009 |Anatomical or acquired body structure|
rim: .targetBodySiteCode
sct-attr: 363698007

Condition.subject Σ C

Short Who has the condition?

Definition

Indicates the patient or group who the condition record is associated with.

Cardinality 1..1

Type Reference(CareConnect-GPC-Patient-1)

Summary True

Alias patient

Requirements

Group is typically used for veterinary or public health use cases.

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3
rim: .participation[typeCode=SBJ].role[classCode=PAT]
w5: FiveWs.subject

Condition.encounter Σ C

Short Encounter created as part of

Definition

The Encounter during which this Condition was created or to which the creation of this record is tightly associated.

Cardinality 0..1

Type Reference(Encounter)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.context
w5: FiveWs.context
v2: PV1-19 (+PV1-54)
rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

Condition.onset[x] S Σ

Short Estimated or actual date, date-time, or age

Definition

Estimated or actual date or date-time the condition began, in the opinion of the clinician.

Cardinality 0..1

Type Age | dateTime | Period | Range | string

Must Support True

Summary True

Comments

Age is generally used when the patient reports an age at which the Condition began to occur.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.init
v2: PRB-16
rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value

Condition.abatement[x] S C

Short When in resolution/remission

Definition

Cardinality 0..1

Type Age | dateTime | Period | Range | string

Must Support True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
w5: FiveWs.done[x]
rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed

Condition.recordedDate Σ

Short Date record was first recorded

Definition

The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.

Cardinality 0..1

Type

dateTime

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
w5: FiveWs.recorded
v2: REL-11
rim: .participation[typeCode=AUT].time

Condition.recorder Σ C

Short Who recorded the condition

Definition

Individual who recorded the record and takes responsibility for its content.

Cardinality 0..1

Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.author
rim: .participation[typeCode=AUT].role

Condition.asserter Σ C

Short Person who asserts this condition

Definition

Individual who is making the condition statement.

Cardinality 1..1

Type Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.source
v2: REL-7.1 identifier + REL-7.12 type code
rim: .participation[typeCode=INF].role

Condition.stage C

Short Stage/grade, usually assessed formally

Definition

Clinical stage or grade of a condition. May include formal severity assessments.

Cardinality 0..*

Type

BackboneElement

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
con-1: Stage SHALL have summary or assessment
summary.exists() or assessment.exists()

Mappings

rim: n/a
rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]

Condition.stage.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.stage.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.stage.modifierExtension Σ ?! C

Short Extensions that cannot be ignored even if unrecognized

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.stage.summary C

Short Simple summary (disease specific)

Definition

A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

Cardinality 0..1

Type

CodeableConcept

Binding

Codes describing condition stages (e.g. Cancer stages).

ConditionStage (example)

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 254291000 |Staging and scales|
v2: PRB-14
rim: .value

Condition.stage.assessment C

Short Formal record of assessment

Definition

Reference to a formal record of the evidence on which the staging assessment is based.

Cardinality 0..*

Type Reference(ClinicalImpression | DiagnosticReport | Observation)

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .self

Condition.stage.type

Short Kind of staging

Definition

The kind of staging, such as pathological or clinical staging.

Cardinality 0..1

Type

CodeableConcept

Binding

Codes describing the kind of condition staging (e.g. clinical or pathological).

ConditionStageType (example)

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]

Condition.evidence C

Short Supporting evidence

Definition

Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.

Cardinality 0..*

Type

BackboneElement

Comments

The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
con-2: evidence SHALL have code or details
code.exists() or detail.exists()

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]

Condition.evidence.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.evidence.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.evidence.modifierExtension Σ ?! C

Short Extensions that cannot be ignored even if unrecognized

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Cardinality 0..*

Type

Extension

Modifier True

Summary True

Alias extensions, user content, modifiers

Requirements

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.evidence.code Σ C

Short Manifestation/symptom

Definition

A manifestation or symptom that led to the recording of this condition.

Cardinality 0..*

Type

CodeableConcept

Binding

Codes that describe the manifestation or symptoms of a condition.

ManifestationAndSymptomCodes (example)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.reasonCode
w5: FiveWs.why[x]
sct-concept: < 404684003 |Clinical finding|
rim: [code="diagnosis"].value

Condition.evidence.detail Σ C

Short Supporting information found elsewhere

Definition

Links to other relevant information, including pathology reports.

Cardinality 0..*

Type Reference(Resource)

Summary True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1, con-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.why[x]
rim: .self

Condition.note S

Short Additional information about the Condition

Definition

Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

Cardinality 0..*

Type

Annotation

Must Support True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act
workflow: Event.note
v2: NTE child of PRB
rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Condition.note.id

Short Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1

Type

string

Mappings

rim: n/a

Condition.note.extension C

Short Additional content defined by implementations

Definition

Cardinality 0..*

Type

Extension

Alias extensions, user content

Comments

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

Condition.note.author[x] Σ

Short Individual responsible for the annotation

Definition

The individual responsible for making the annotation.

Cardinality 0..1

Type Reference(RelatedPerson) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1) | Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1) | string

Summary True

Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.participant[typeCode=AUT].role

Condition.note.time Σ

Short When the annotation was made

Definition

Indicates when this particular annotation was made.

Cardinality 0..1

Type

dateTime

Summary True

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.effectiveTime

Condition.note.text Σ

Short The annotation - text content (as markdown)

Definition

The text of the annotation in markdown format.

Cardinality 1..1

Type

markdown

Summary True

Comments

Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act.text

Condition.context S C

Short A reference from one resource to another

Definition

A reference from one resource to another.

Cardinality 0..*

Type Reference(https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)

Must Support True

Comments

Conditions The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Condition.assertedDate

Cardinality 1

<meta>
<lastUpdated value="2026-10-29T16:53:37.5445669+00:00" />
</meta>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pc" />
</extension>
<url value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" />
<version value="1.8.0" />
<name value="CareConnect-GPC-ProblemHeader-Condition-1" />
<status value="draft" />
<date value="2023-08-25" />
<publisher value="HL7 UK" />
<contact>
<name value="INTEROPen" />
<telecom>
<system value="email" />
<value value="admin@interopen.org" />
<use value="work" />
</telecom>
</contact>
<description value="This Condition resource records detailed information about conditions or diagnoses recognised by a clinician." />
<purpose value="CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/" />
<copyright value="Copyright © 2020 HL7 UK\n\nLicensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n\nhttp://www.apache.org/licenses/LICENSE-2.0\n\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n\nHL7® FHIR® standard Copyright © 2011+ HL7\n\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n\nhttps://www.hl7.org/fhir/license.html" />
<fhirVersion value="3.0.2" />
<kind value="resource" />
<abstract value="false" />
<type value="Condition" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
<derivation value="constraint" />
<differential>
<element id="Condition.meta">
<path value="Condition.meta" />
</element>
<element id="Condition.meta.profile">
<path value="Condition.meta.profile" />
<min value="1" />
</element>
<element id="Condition.extension:actualProblem">
<path value="Condition.extension" />
<sliceName value="actualProblem" />
<type>
<code value="Extension" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1" />
</type>
<mustSupport value="true" />
</element>
<element id="Condition.extension:relatedProblemHeader">
<path value="Condition.extension" />
<sliceName value="relatedProblemHeader" />
<type>
<code value="Extension" />
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1" />
</type>
<mustSupport value="true" />
</element>
<element id="Condition.extension:relatedProblemHeader.extension">
<path value="Condition.extension.extension" />
<min value="1" />
</element>
<element id="Condition.extension:relatedProblemHeader.value[x]">
<path value="Condition.extension.value[x]" />
<type>
<code value="base64Binary" />
</type>
<type>
<code value="boolean" />
</type>
<type>
<code value="code" />
</type>
<type>
<code value="date" />
</type>
<type>
<code value="dateTime" />
</type>
<type>
<code value="decimal" />
</type>
<type>
<code value="id" />
</type>
<type>
<code value="instant" />
</type>
<type>
<code value="integer" />
</type>
<type>
<code value="markdown" />
</type>
<type>
<code value="oid" />
</type>
<type>
<code value="positiveInt" />
</type>
<type>
<code value="string" />
</type>
<type>
<code value="time" />
</type>
<type>
<code value="unsignedInt" />
</type>
<type>
<code value="uri" />
</type>
<type>
<code value="Address" />
</type>
<type>
<code value="Age" />
</type>
<type>
<code value="Annotation" />
</type>
<type>
<code value="Attachment" />
</type>
<type>
<code value="CodeableConcept" />
</type>
<type>
<code value="Coding" />
</type>
<type>
<code value="ContactPoint" />
</type>
<type>
<code value="Count" />
</type>
<type>
<code value="Distance" />
</type>
<type>
<code value="Duration" />
</type>
<type>
<code value="HumanName" />
</type>
<type>
<code value="Identifier" />
</type>
<type>
<code value="Money" />
</type>
<type>
<code value="Period" />
</type>
<type>
<code value="Quantity" />
</type>
<type>
<code value="Range" />
</type>
<type>
<code value="Ratio" />
</type>
<type>
<code value="Reference" />
</type>
<type>
<code value="SampledData" />
</type>
<type>
<code value="Signature" />
</type>
<type>
<code value="Timing" />
</type>
<type>
<code value="Meta" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
</type>
</element>
<element id="Condition.extension:problemSignificance">
<path value="Condition.extension" />
<sliceName value="problemSignificance" />
<type>
<code value="Extension" />
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1" />
</type>
<mustSupport value="true" />
</element>
<element id="Condition.extension:problemSignificance.url">
<path value="Condition.extension.url" />
<fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1" />
</element>
<element id="Condition.extension:relatedClinicalContent">
<path value="Condition.extension" />
<sliceName value="relatedClinicalContent" />
<type>
<code value="Extension" />
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1" />
</type>
<mustSupport value="true" />
</element>
<element id="Condition.extension:relatedClinicalContent.url">
<path value="Condition.extension.url" />
<fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1" />
</element>
<element id="Condition.extension:relatedClinicalContent.value[x]">
<path value="Condition.extension.value[x]" />
<type>
<code value="base64Binary" />
</type>
<type>
<code value="boolean" />
</type>
<type>
<code value="code" />
</type>
<type>
<code value="date" />
</type>
<type>
<code value="dateTime" />
</type>
<type>
<code value="decimal" />
</type>
<type>
<code value="id" />
</type>
<type>
<code value="instant" />
</type>
<type>
<code value="integer" />
</type>
<type>
<code value="markdown" />
</type>
<type>
<code value="oid" />
</type>
<type>
<code value="positiveInt" />
</type>
<type>
<code value="string" />
</type>
<type>
<code value="time" />
</type>
<type>
<code value="unsignedInt" />
</type>
<type>
<code value="uri" />
</type>
<type>
<code value="Address" />
</type>
<type>
<code value="Age" />
</type>
<type>
<code value="Annotation" />
</type>
<type>
<code value="Attachment" />
</type>
<type>
<code value="CodeableConcept" />
</type>
<type>
<code value="Coding" />
</type>
<type>
<code value="ContactPoint" />
</type>
<type>
<code value="Count" />
</type>
<type>
<code value="Distance" />
</type>
<type>
<code value="Duration" />
</type>
<type>
<code value="HumanName" />
</type>
<type>
<code value="Identifier" />
</type>
<type>
<code value="Money" />
</type>
<type>
<code value="Period" />
</type>
<type>
<code value="Quantity" />
</type>
<type>
<code value="Range" />
</type>
<type>
<code value="Ratio" />
</type>
<type>
<code value="Reference" />
</type>
<type>
<code value="SampledData" />
</type>
<type>
<code value="Signature" />
</type>
<type>
<code value="Timing" />
</type>
<type>
<code value="Meta" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
</type>
</element>
<element id="Condition.identifier">
<path value="Condition.identifier" />
<min value="1" />
</element>
<element id="Condition.identifier.system">
<path value="Condition.identifier.system" />
<min value="1" />
</element>
<element id="Condition.identifier.value">
<path value="Condition.identifier.value" />
<min value="1" />
</element>
<element id="Condition.identifier.assigner">
<path value="Condition.identifier.assigner" />
<type>
<code value="Reference" />
<targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
</type>
</element>
<element id="Condition.clinicalStatus">
<path value="Condition.clinicalStatus" />
<short value="active | inactive" />
<min value="1" />
</element>
<element id="Condition.category">
<path value="Condition.category" />
<short value="problem-list-item | encounter-diagnosis | presenting-complaint" />
<min value="1" />
<max value="1" />
<binding>
<strength value="required" />
</binding>
</element>
<element id="Condition.category.coding.system">
<path value="Condition.category.coding.system" />
<min value="1" />
<fixedUri value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1" />
</element>
<element id="Condition.category.coding.code">
<path value="Condition.category.coding.code" />
<min value="1" />
<fixedCode value="problem-list-item" />
</element>
<element id="Condition.category.coding.display">
<path value="Condition.category.coding.display" />
<min value="1" />
<fixedString value="Problem List Item" />
</element>
<element id="Condition.code">
<path value="Condition.code" />
<min value="1" />
</element>
<element id="Condition.code.coding">
<path value="Condition.code.coding" />
<slicing>
<discriminator>
<type value="value" />
<path value="system" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Condition.code.coding:snomedCT">
<path value="Condition.code.coding" />
<sliceName value="snomedCT" />
<max value="1" />
<binding>
<strength value="required" />
<description value="A code from the SNOMED Clinical Terminology UK" />
</binding>
</element>
<element id="Condition.code.coding:snomedCT.extension:snomedCTDescriptionID">
<path value="Condition.code.coding.extension" />
<sliceName value="snomedCTDescriptionID" />
<type>
<code value="Extension" />
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
</type>
</element>
<element id="Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.url">
<path value="Condition.code.coding.extension.url" />
<fixedUri value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
</element>
<element id="Condition.code.coding:snomedCT.system">
<path value="Condition.code.coding.system" />
<min value="1" />
<fixedUri value="http://snomed.info/sct" />
</element>
<element id="Condition.code.coding:snomedCT.version">
<path value="Condition.code.coding.version" />
<max value="0" />
</element>
<element id="Condition.code.coding:snomedCT.code">
<path value="Condition.code.coding.code" />
<min value="1" />
</element>
<element id="Condition.code.coding:snomedCT.display">
<path value="Condition.code.coding.display" />
<min value="1" />
</element>
<element id="Condition.subject">
<path value="Condition.subject" />
<type>
<code value="Reference" />
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
</type>
</element>
<element id="Condition.context">
<path value="Condition.context" />
<type>
<code value="Reference" />
<targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" />
</type>
<mustSupport value="true" />
</element>
<element id="Condition.onset[x]">
<path value="Condition.onset[x]" />
<mustSupport value="true" />
</element>
<element id="Condition.abatement[x]">
<path value="Condition.abatement[x]" />
<mustSupport value="true" />
</element>
<element id="Condition.assertedDate">
<path value="Condition.assertedDate" />
<min value="1" />
</element>
<element id="Condition.asserter">
<path value="Condition.asserter" />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
</type>
</element>
<element id="Condition.note">
<path value="Condition.note" />
<mustSupport value="true" />
</element>
<element id="Condition.note.author[x]">
<path value="Condition.note.author[x]" />
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
<type>
<code value="string" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
</type>
<type>
<code value="Reference" />
<targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
</type>
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"meta": {
"lastUpdated": "2026-10-29T16:53:37.5445669+00:00"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pc"
}
],
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1",
"version": "1.8.0",
"name": "CareConnect-GPC-ProblemHeader-Condition-1",
"status": "draft",
"date": "2023-08-25",
"publisher": "HL7 UK",
"contact": [
{
"name": "INTEROPen",
"telecom": [
{
"system": "email",
"value": "admin@interopen.org",
"use": "work"
}
]
}
],
"description": "This Condition resource records detailed information about conditions or diagnoses recognised by a clinician.",
"purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/",
"copyright": "Copyright © 2020 HL7 UK\n\nLicensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n\nhttp://www.apache.org/licenses/LICENSE-2.0\n\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n\nHL7® FHIR® standard Copyright © 2011+ HL7\n\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n\nhttps://www.hl7.org/fhir/license.html",
"fhirVersion": "3.0.2",
"kind": "resource",
"abstract": false,
"type": "Condition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Condition.meta",
"path": "Condition.meta"
},
{
"id": "Condition.meta.profile",
"path": "Condition.meta.profile",
"min": 1
},
{
"id": "Condition.extension:actualProblem",
"path": "Condition.extension",
"sliceName": "actualProblem",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1"
]
}
],
"mustSupport": true
},
{
"id": "Condition.extension:relatedProblemHeader",
"path": "Condition.extension",
"sliceName": "relatedProblemHeader",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1"
]
}
],
"mustSupport": true
},
{
"id": "Condition.extension:relatedProblemHeader.extension",
"path": "Condition.extension.extension",
"min": 1
},
{
"id": "Condition.extension:relatedProblemHeader.value[x]",
"path": "Condition.extension.value[x]",
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"
]
}
]
},
{
"id": "Condition.extension:problemSignificance",
"path": "Condition.extension",
"sliceName": "problemSignificance",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1"
]
}
],
"mustSupport": true
},
{
"id": "Condition.extension:problemSignificance.url",
"path": "Condition.extension.url",
"fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1"
},
{
"id": "Condition.extension:relatedClinicalContent",
"path": "Condition.extension",
"sliceName": "relatedClinicalContent",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1"
]
}
],
"mustSupport": true
},
{
"id": "Condition.extension:relatedClinicalContent.url",
"path": "Condition.extension.url",
"fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1"
},
{
"id": "Condition.extension:relatedClinicalContent.value[x]",
"path": "Condition.extension.value[x]",
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"
]
}
]
},
{
"id": "Condition.identifier",
"path": "Condition.identifier",
"min": 1
},
{
"id": "Condition.identifier.system",
"path": "Condition.identifier.system",
"min": 1
},
{
"id": "Condition.identifier.value",
"path": "Condition.identifier.value",
"min": 1
},
{
"id": "Condition.identifier.assigner",
"path": "Condition.identifier.assigner",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
]
}
]
},
{
"id": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"short": "active | inactive",
"min": 1
},
{
"id": "Condition.category",
"path": "Condition.category",
"short": "problem-list-item | encounter-diagnosis | presenting-complaint",
"min": 1,
"max": "1",
"binding": {
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ConditionCategory-1"
},
"strength": "required"
}
},
{
"id": "Condition.category.coding.system",
"path": "Condition.category.coding.system",
"min": 1,
"fixedUri": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"
},
{
"id": "Condition.category.coding.code",
"path": "Condition.category.coding.code",
"min": 1,
"fixedCode": "problem-list-item"
},
{
"id": "Condition.category.coding.display",
"path": "Condition.category.coding.display",
"min": 1,
"fixedString": "Problem List Item"
},
{
"id": "Condition.code",
"path": "Condition.code",
"min": 1
},
{
"id": "Condition.code.coding",
"path": "Condition.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Condition.code.coding:snomedCT",
"path": "Condition.code.coding",
"sliceName": "snomedCT",
"max": "1",
"binding": {
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ConditionCode-1"
},
"strength": "required",
"description": "A code from the SNOMED Clinical Terminology UK"
}
},
{
"id": "Condition.code.coding:snomedCT.extension:snomedCTDescriptionID",
"path": "Condition.code.coding.extension",
"sliceName": "snomedCTDescriptionID",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
]
}
]
},
{
"id": "Condition.code.coding:snomedCT.extension:snomedCTDescriptionID.url",
"path": "Condition.code.coding.extension.url",
"fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
},
{
"id": "Condition.code.coding:snomedCT.system",
"path": "Condition.code.coding.system",
"min": 1,
"fixedUri": "http://snomed.info/sct"
},
{
"id": "Condition.code.coding:snomedCT.version",
"path": "Condition.code.coding.version",
"max": "0"
},
{
"id": "Condition.code.coding:snomedCT.code",
"path": "Condition.code.coding.code",
"min": 1
},
{
"id": "Condition.code.coding:snomedCT.display",
"path": "Condition.code.coding.display",
"min": 1
},
{
"id": "Condition.subject",
"path": "Condition.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
]
}
]
},
{
"id": "Condition.context",
"path": "Condition.context",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"
]
}
],
"mustSupport": true
},
{
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"mustSupport": true
},
{
"id": "Condition.abatement[x]",
"path": "Condition.abatement[x]",
"mustSupport": true
},
{
"id": "Condition.assertedDate",
"path": "Condition.assertedDate",
"min": 1
},
{
"id": "Condition.asserter",
"path": "Condition.asserter",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
]
}
]
},
{
"id": "Condition.note",
"path": "Condition.note",
"mustSupport": true
},
{
"id": "Condition.note.author[x]",
"path": "Condition.note.author[x]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
},
{
"code": "string"
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
]
},
{
"code": "Reference",
"targetProfile": [
"https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
]
}
]
}
]
}

}

Command 'details' could not render: There is no placeholder called 'details'

Reference

Canonical URI: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1

The canonical URI is the stable FHIR identifier for this profile and is not currently available as a browsable web page.

Data model element usage

Important: This profile does exists in UK Core as UKCore-Condition.

Element	Use	CareConnect (STU3)	UK Core (R4)
id
meta.versionId
meta.lastUpdated
meta.profile
meta.security
meta.tag
extension(actualProblem)
extension(relatedProblem)
extension(problemSignificance)
extension(relatedClinicalContent)
identifier
clinicalStatus
verificationStatus
category
severity
code
bodySite
subject
context
onset
abatement
assertedDate
asserter
stage
evidence
note

id

Usage

Guidance

The id is the logical identifier for the CareConnect-GPC-ProblemHeader-Condition-1 profile.

Example

<id value="c569319b-9cd5-47e8-ac20-649b51c9e561" />

meta.versionId

Usage

Optional

Guidance

The population of the meta.versionId element could be useful if sending an adendum of something previously sent to help the consumer (receiver) in understanding there is a "newer" version.

Example

<meta>
    <versionId value="1" />
</meta>

meta.lastUpdated

Usage

Optional

Guidance

The meta.lastUpdated element could be useful alongside the meta.versionIdelement could be useful if sending an adendum of something previously sent to help the consumer (receiver) in understanding there is a "newer" version.

Example

<meta>
    <lastUpdated value="2022-10-28T08:06:00+00:00" />
</meta>

meta.profile

Usage

Mandatory

Guidance

The meta.profile contains a fixed value of the URL for the CareConnect-GPC-ProblemHeader-1 profile.

Example

<meta>
    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" />
</meta>

meta.security

Usage

Optional

Guidance

The security label(s) applicable to the resource.

See Resources not to be disclosed to a patient for more details on how to populate the element.

Example

<meta>
    <security>
        <system value="http://hl7.org/fhir/v3/ActCode"/>
        <code value="NOPAT"/>
        <display value="no disclosure to patient, family or caregivers without attending provider's authorization"/>
    </security>
</meta>

meta.tag

Usage

Optional

Guidance

A use-case for the meta.tag element within GP Connect has not been defined.

Example

<meta>
    <tag>
        <coding>
            <system value="http://hl7.org/fhir/common-tags" />
            <code value="actionable" />
            <display value="Actionable" />
        </coding>
    </tag>
</meta>

extension(actualProblem)

Usage

Required

Guidance

A reference to the profile containing the clinical item that has been escalated to create the Problem.

View the profile at the top of the page, or source profile in the "Related links" section to see which profiles can be used.

Example

<extension>
    <url value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1" />
    <valueReference value="problem-profile-00234tr" />
</extension>

extension(relatedProblem)

Usage

Required

Guidance

A complex extension that details the relationship of this ProblemHeader (Condition) profile to another or a number of other ProblemHeader (Condition) profile.

For each relatedProblemHeader.target, the provider MUST supply a value of parent, child or sibling

Example

<extension>
    <!-- type -->
    <extension>
        <url value="type" />
        <valueCode value="child" />
    </extension>
    <!-- target -->
    <extension>
        <url value="target" />
        <valueReference value="problem-header-condition-0057t1v" />
    </extension>
</extension>

extension(problemSignificance)

Usage

Required

Guidance

The significance of the Problem, which MUST have a severity of either major or minor.

Provider systems which records multiple levels above major or below minor should map appropariately to the two available codes within the FHIR definition.

Example

<extension>
    <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1" />
    <valueCode value="major" />
</extension>

extension(relatedClinicalContent)

Usage

Required

Guidance

The element can be used to reference clinical items and/or consultations that a user in the sending clinical system has chosen to link to this Problem.

When populating this field the provider system MUST include every clinical item in the patient record that provides information about the problem. This includes:

clinical items that are directly linked to the problem in the provider system; and
clinical items that are within a consultation topic that is linked to the problem

When populating this field the provider system must include every consultation where the problem was discussed or information about the problem was recorded. This includes:

consultations that are directly linked to the problem in the provider system; and
consultations that created/updated a clinical item that has been linked to the problem

Example

<extension>
    <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1" />
    <valueReference value="encounter-009ft54" />
</extension>

identifier

Usage

Mandatory

Guidance

The identifier element MUST be populated with a globally unique and persistent identifier (that is, it doesn’t change between requests and therefore stored with the source data). This MUST be scoped by a provider specific namespace for the identifier.

Where consuming systems are integrating data from this resource to their local system, they MUST also persist this identifier at the same time.

Example

<identifier>
    <system value="https://foo.bar/id/problem-header-condition" />
    <value value="d8b4d1f8-1480-4eb6-8587-58631e40b10c" />
</identifier>

clinicalStatus

Usage

Mandatory

Guidance

The clinicalStatus element MUST reflect the current status of the condition - e.g., active or inactive.

Example

<clinicalStatus value="active" />

verificationStatus

Usage

Optional

Guidance

This element SHALL NOT be populated.

The verification status to support the clinical status of the condition.

Example

<verificationStatus value="confirmed" />

severity

Usage

Optional

Guidance

This element SHALL NOT be populated.

The subjective severity of the condition represented using SNOMED.

Example

<severity>
    <coding>
        <system value="http://snomed.info/sct" />
        <code value="255604002" />
        <display value="Mild (qualifier value)" />
    </coding>
</severity>

code

Usage

Mandatory

Guidance

Identification of the condition, problem or diagnosis

Child of 04684003 | Clinical finding (finding) |

Example

<code>
    <coding>
        <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1" />
        <code value="788966003" />
        <display value="Insect bite reaction of skin (finding)" />
    </coding>
</code>

bodySite

Usage

Optional

Guidance

This element SHALL NOT be populated.

The anatomical location where this condition manifests itself (if relevant).

The bodySite element does not need to be populated.

Example

<bodySite>
    <coding>
        <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1" />
        <code value="182169008" />
        <display value="Entire elbow joint (body structure)" />
    </coding>
</bodySite>

subject

Usage

Mandatory

Guidance

Indicates the patient or group who the condition record is associated with.

Example

<subject>
    <reference value="patient-0012da12" />
</subject>

context

Usage

Required

Guidance

Encounter or episode when condition first asserted.

Example

<context>
    <reference value="encounter-3468df42-4c6a-43db-b377-c5ea264c8ab3" />
</context>

onset

Usage

Required

Guidance

The reported date/time when the problem started.

For example if the patient reported a persistent cough started on the 1st May during a consultation on the 20th May, the onset date would be the 1st May.

Example

<onsetDateTime value="2022-11-01T00:00:00Z" />

abatement

Usage

Required

Guidance

The date/time when the Problem was no longer considered active.

Example

<abatementDateTime value="2022-11-06T00:00:00Z" />

assertedDate

Usage

Mandatory

Guidance

The date/time that the Problem was recorded on the clinical system.

Example

<assertedDate value="2022-11-02T00:00:00Z" />

asserter

Usage

Mandatory

Guidance

A reference to the profile for the practitioner who recorded the Problem.

Example

<asserter>
    <reference value="practitioner-991234pxz" />
</asserter>

stage

Usage

Optional

Guidance

This element SHALL NOT be populated.

Clinical stage or grade of a condition. May include formal severity assessments.

This stage element does not need to be populated.

Example

<stage>
    <summary>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="786005" />
            <display value="Clinical stage I B" />
        </coding>
    </summary>
    <assessment value="reference-clinicalimpression-or-diagnostic-report-or-observation--00298df" />
</stage>

evidence

Usage

Optional

Guidance

This element SHALL NOT be populated.

Clinical stage or grade of a condition. May include formal severity assessments.

This stage element does not need to be populated.

Example

<evidence>
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="1148601009" />
            <display value="Able to thrive (finding)" />
        </coding>
    </code>
    <detail value="reference-resource-008912jd" />
</evidence>

note

Usage

Required

Guidance

Any notes relating to the specified problem.

Example

<note>
    <author>
        <reference value="practitioner-948392" />
    </author>
    <time value="2022-10-13T16:59:00Z" />
    <text>
        Free text... R4 of the FHIR standard supports GitHub Flavoured Markdown (GFM).
    </text>
</note>