Kenya Patient Summary FHIR IG
0.1.0 - ci-build
Kenya Patient Summary FHIR IG
0.1.0 - ci-build
Kenya Patient Summary FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://example.org/fhir/StructureDefinition/kps-condition | Version: 0.1.0 | |||
| Draft as of 2025-12-09 | Computable Name: KpsCondition | |||
This profile defines constraints on the Condition resource for use within the Kenya Patient Summary. It captures information about a patient's current or past medical conditions, diagnoses, or problems, supporting clinical assessment, continuity of care, and data exchange within the national Health Information Exchange (HIE).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
 clinicalStatus |
S | 1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | ||||||
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) | ||||||
| category |
S | 1..1 | CodeableConceptIPS | Category of the condition Binding: Problem Type - IPS (preferred)
| ||||||
| severity |
S | 0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required)
| ||||||
| code |
S | 1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem
| ||||||
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition Binding: SNOMEDCTBodyStructures (example) | ||||||
  subject |
SΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition? | ||||||
  reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made | ||||||
 onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
| onsetDateTime |
dateTime S | |||||||||
| onsetAge |
Age | |||||||||
| abatement[x] |
SC | 0..1 | dateTime | Date the condition last occurred or resolved | ||||||
| note |
0..* | Annotation | Additional information about the condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
| Condition.code | Base | preferred | Problems - SNOMED CT + Absent/Unknown - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Condition |
0..* | ConditionUvIps | Documentation of a health problem of the patient | |
 clinicalStatus |
1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | |
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) |
| category |
1..1 | CodeableConceptIPS | Category of the condition | |
| severity |
0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required) | |
| code |
1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient | |
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition |
| encounter |
S | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made |
| onset[x] |
0..1 | Estimated or actual date, date-time, or age | ||
| onsetDateTime |
dateTime | |||
| onsetAge |
Age | |||
| abatement[x] |
S | 0..1 | dateTime | Date the condition last occurred or resolved |
| note |
0..* | Annotation | Additional information about the condition | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||
| clinicalStatus |
S | 1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | ||||||
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) | ||||||
| category |
S | 1..1 | CodeableConceptIPS | Category of the condition Binding: Problem Type - IPS (preferred)
| ||||||
| severity |
S | 0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required)
| ||||||
| code |
S | 1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem
| ||||||
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition Binding: SNOMEDCTBodyStructures (example) | ||||||
| subject |
SΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition? | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made | ||||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
| onsetDateTime |
dateTime S | |||||||||
| onsetAge |
Age | |||||||||
| abatement[x] |
SC | 0..1 | dateTime | Date the condition last occurred or resolved | ||||||
| recordedDate |
Σ | 0..1 | dateTime | Date record was first recorded | ||||||
| recorder |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||
| asserter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| summary |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
| type |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
| note |
0..* | Annotation | Additional information about the condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
| Condition.code | Base | preferred | Problems - SNOMED CT + Absent/Unknown - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Condition.stage.summary | Base | example | Condition Stage | 📦4.0.1 | FHIR Std. |
| Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionUvIps
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| clinicalStatus |
S | 1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | ||||||
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) | ||||||
| category |
S | 1..1 | CodeableConceptIPS | Category of the condition Binding: Problem Type - IPS (preferred)
| ||||||
| severity |
S | 0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required)
| ||||||
| code |
S | 1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem
| ||||||
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition Binding: SNOMEDCTBodyStructures (example) | ||||||
| subject |
SΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition? | ||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made | ||||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
| onsetDateTime |
dateTime S | |||||||||
| onsetAge |
Age | |||||||||
| abatement[x] |
SC | 0..1 | dateTime | Date the condition last occurred or resolved | ||||||
| note |
0..* | Annotation | Additional information about the condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
| Condition.code | Base | preferred | Problems - SNOMED CT + Absent/Unknown - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from ConditionUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Condition |
0..* | ConditionUvIps | Documentation of a health problem of the patient | |
| clinicalStatus |
1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | |
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) |
| category |
1..1 | CodeableConceptIPS | Category of the condition | |
| severity |
0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required) | |
| code |
1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient | |
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition |
| encounter |
S | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made |
| onset[x] |
0..1 | Estimated or actual date, date-time, or age | ||
| onsetDateTime |
dateTime | |||
| onsetAge |
Age | |||
| abatement[x] |
S | 0..1 | dateTime | Date the condition last occurred or resolved |
| note |
0..* | Annotation | Additional information about the condition | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient Constraints: con-3, con-4, con-5 | ||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||||
| clinicalStatus |
S | 1..1 | CodeableConceptIPS | Clinical status Binding: Clinical Status ValueSet (required) | ||||||
| verificationStatus |
S | 1..1 | CodeableConceptIPS | Verification status Binding: Verification Status ValueSet (required) | ||||||
| category |
S | 1..1 | CodeableConceptIPS | Category of the condition Binding: Problem Type - IPS (preferred)
| ||||||
| severity |
S | 0..1 | CodeableConceptIPS | Severity of the condition Binding: Condition Severity ValueSet (required)
| ||||||
| code |
S | 1..1 | CodeableConceptIPS | Diagnosis or problem affecting the patient Binding: Problems - SNOMED CT + Absent/Unknown - IPS (preferred): Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem
| ||||||
| bodySite |
S | 0..* | CodeableConceptIPS | Body site affected by the condition Binding: SNOMEDCTBodyStructures (example) | ||||||
| subject |
SΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition? | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Associated encounter when diagnosis was made | ||||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
| onsetDateTime |
dateTime S | |||||||||
| onsetAge |
Age | |||||||||
| abatement[x] |
SC | 0..1 | dateTime | Date the condition last occurred or resolved | ||||||
| recordedDate |
Σ | 0..1 | dateTime | Date record was first recorded | ||||||
| recorder |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||
| asserter |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||
| stage |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| summary |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
| type |
0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| code |
ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||
| note |
0..* | Annotation | Additional information about the condition | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Clinical Status ValueSet | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | Verification Status ValueSet | 📦0.1.0 | This IG |
| Condition.category | Base | preferred | Problem Type - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.severity | Base | required | Condition Severity ValueSet | 📦0.1.0 | This IG |
| Condition.code | Base | preferred | Problems - SNOMED CT + Absent/Unknown - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1 |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Condition.subject.type | Base | extensible | ResourceType | 📦4.0.1 | FHIR Std. |
| Condition.stage.summary | Base | example | Condition Stage | 📦4.0.1 | FHIR Std. |
| Condition.stage.type | Base | example | Condition Stage Type | 📦4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from ConditionUvIps
Other representations of profile: CSV, Excel, Schematron