The official URL for this profile is:
http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Condition
A disorder, abnormality, problem, injury, complaint, risk, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble. A ConditionPresent finding implies the existence of a condition as an entity. 'Condition' is interpreted broadly to cover states of existence - things the patient is or has.
This profile builds on US Core Condition (a.k.a Problem) Profile.
This profile was published on Tue Feb 27 00:00:00 EST 2018 as a draft by The MITRE Corporation: Standard Health Record Collaborative.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
Summary
Mandatory: 0 element (2 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
SHR Mapping Source
This structure represents the following SHR mapping definition:
shr.condition.Condition maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: RelatedEncounter maps to context Informant maps to asserter Subject maps to subject _Entry.CreationTime maps to assertedDate CodeableConcept maps to code Category maps to category ClinicalStatus maps to clinicalStatus Onset maps to onset[x] Abatement maps to abatement[x] BodySiteOrCode.CodeableConcept maps to bodySite BodySiteOrCode.BodySite maps to http://hl7.org/fhir/StructureDefinition/body-structure Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Evidence maps to evidence
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | I | 0..* | SHR Condition Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | 0..1 | ?? http://hl7.org/fhir/StructureDefinition/body-structure | URL: http://hl7.org/fhir/StructureDefinition/body-structure | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR Author Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FocalSubject Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubject-extension | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR FocalSubjectReference Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubjectReference-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FindingMethod Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingMethod-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FindingStatus Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingStatus-extension Binding: ObservationStatus (required) | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR WhenClinicallyRecognized Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-WhenClinicallyRecognized-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR Preexisting Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Preexisting-extension Binding: SHR YesNoUnknownVS ValueSet (required) | |
![]() ![]() ![]() | 0..1 | code | SHR Criticality Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Criticality-extension | |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 1..1 | uri | "http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Criticality-extension" | |
![]() ![]() ![]() ![]() | 1..1 | code | Value of extension Binding: AllergyIntoleranceCriticality (required) | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | Σ | 0..* | Identifier | External Ids for this condition |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
![]() ![]() ![]() | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: SHR ConditionCategoryVS ValueSet (required) |
![]() ![]() ![]() | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Value Set (extensible) |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SHR BodySiteVS ValueSet (required) |
![]() ![]() ![]() | SΣ | 1..1 | Reference(SHR Patient Profile) | Who has the condition? |
![]() ![]() ![]() | Σ | 0..1 | Reference(SHR EncounterPerformed Profile) | Encounter or episode when condition first asserted |
![]() ![]() ![]() | Σ | 0..1 | dateTime, SHR Age Profile, SHR GestationalAge Profile, Period | Estimated or actual date, date-time, or age |
![]() ![]() ![]() | I | 0..1 | dateTime, SHR Age Profile, SHR GestationalAge Profile, Period | If/when in resolution/remission |
![]() ![]() ![]() | Σ | 1..1 | dateTime | Date record was believed accurate |
![]() ![]() ![]() | Σ | 0..1 | Reference(SHR Patient Profile), Reference(SHR RelatedPerson Profile) | Person who asserts this condition |
![]() ![]() ![]() | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
![]() ![]() ![]() ![]() | I | 0..* | Reference(ClinicalImpression), Reference(DiagnosticReport), Reference(Observation) | Formal record of assessment |
![]() ![]() ![]() | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
![]() ![]() ![]() ![]() | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
![]() ![]() ![]() | 0..* | Annotation | Additional information about the Condition | |
![]() |
Summary
Mandatory: 0 element (2 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
SHR Mapping Source
This structure represents the following SHR mapping definition:
shr.condition.Condition maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: RelatedEncounter maps to context Informant maps to asserter Subject maps to subject _Entry.CreationTime maps to assertedDate CodeableConcept maps to code Category maps to category ClinicalStatus maps to clinicalStatus Onset maps to onset[x] Abatement maps to abatement[x] BodySiteOrCode.CodeableConcept maps to bodySite BodySiteOrCode.BodySite maps to http://hl7.org/fhir/StructureDefinition/body-structure Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Evidence maps to evidence
Differential View
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | I | 0..* | SHR Condition Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
![]() ![]() ![]() | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() ![]() | 0..1 | ?? http://hl7.org/fhir/StructureDefinition/body-structure | URL: http://hl7.org/fhir/StructureDefinition/body-structure | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR Author Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FocalSubject Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubject-extension | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR FocalSubjectReference Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubjectReference-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FindingMethod Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingMethod-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR FindingStatus Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingStatus-extension Binding: ObservationStatus (required) | |
![]() ![]() ![]() | 0..1 | (Complex) | SHR WhenClinicallyRecognized Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-WhenClinicallyRecognized-extension | |
![]() ![]() ![]() | 0..1 | CodeableConcept | SHR Preexisting Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Preexisting-extension Binding: SHR YesNoUnknownVS ValueSet (required) | |
![]() ![]() ![]() | 0..1 | code | SHR Criticality Extension URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Criticality-extension | |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 1..1 | uri | "http://standardhealthrecord.org/fhir/StructureDefinition/shr-condition-Criticality-extension" | |
![]() ![]() ![]() ![]() | 1..1 | code | Value of extension Binding: AllergyIntoleranceCriticality (required) | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | Σ | 0..* | Identifier | External Ids for this condition |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
![]() ![]() ![]() | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
![]() ![]() ![]() | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: SHR ConditionCategoryVS ValueSet (required) |
![]() ![]() ![]() | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Value Set (extensible) |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SHR BodySiteVS ValueSet (required) |
![]() ![]() ![]() | SΣ | 1..1 | Reference(SHR Patient Profile) | Who has the condition? |
![]() ![]() ![]() | Σ | 0..1 | Reference(SHR EncounterPerformed Profile) | Encounter or episode when condition first asserted |
![]() ![]() ![]() | Σ | 0..1 | dateTime, SHR Age Profile, SHR GestationalAge Profile, Period | Estimated or actual date, date-time, or age |
![]() ![]() ![]() | I | 0..1 | dateTime, SHR Age Profile, SHR GestationalAge Profile, Period | If/when in resolution/remission |
![]() ![]() ![]() | Σ | 1..1 | dateTime | Date record was believed accurate |
![]() ![]() ![]() | Σ | 0..1 | Reference(SHR Patient Profile), Reference(SHR RelatedPerson Profile) | Person who asserts this condition |
![]() ![]() ![]() | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() ![]() | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
![]() ![]() ![]() ![]() | I | 0..* | Reference(ClinicalImpression), Reference(DiagnosticReport), Reference(Observation) | Formal record of assessment |
![]() ![]() ![]() | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
![]() ![]() ![]() ![]() | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() ![]() | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
![]() ![]() ![]() ![]() | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
![]() ![]() ![]() | 0..* | Annotation | Additional information about the Condition | |
![]() |
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
Path | Name | Conformance | ValueSet |
Condition.language | Common Languages | extensible | Common Languages |
Condition.extension.valueCode | AllergyIntoleranceCriticality | required | AllergyIntoleranceCriticality |
Condition.clinicalStatus | Condition Clinical Status Codes | required | Condition Clinical Status Codes |
Condition.verificationStatus | ConditionVerificationStatus | required | ConditionVerificationStatus |
Condition.category | SHR ConditionCategoryVS ValueSet | required | SHR ConditionCategoryVS ValueSet |
Condition.severity | Condition/Diagnosis Severity | required | Condition/Diagnosis Severity |
Condition.code | Problem Value Set | extensible | Problem Value Set |
Condition.bodySite | SHR BodySiteVS ValueSet | required | SHR BodySiteVS ValueSet |
Condition.stage.summary | Condition Stage | example | Condition Stage |
Condition.evidence.code | Manifestation and Symptom Codes | example | Manifestation and Symptom Codes |
Id | Path | Details | Requirements |
dom-2 | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | Condition | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-3 | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
con-4 | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive' | |
con-3 | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists() | |
us-core-1 | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists() | |
ele-1 | Condition.stage | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
con-1 | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
ele-1 | Condition.evidence | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
con-2 | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |