StructureDefinition
for
condition
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Condition : A clinical condition, problem, diagnosis, or other event, situation, issue,
or clinical concept that has risen to a level of concern.
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padding:0px 4px 0px 4px
padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
black; background-color: #fff5e6
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4pxDetailed information about conditions, problems or diagnoses
+ Guideline: Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-erro
r and category is problem-list-item
+ Rule: If condition is abated, then clinicalStatus must be either inactive, resolved,
or remission
Elements defined in Ancestors:
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.,
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.,
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.,
,
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.,
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.,
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.,
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).
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Condition.identifier : 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.
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solid; padding:0px 4px 0px 4pxExternal Ids for this condition
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padding:0px 4px 0px 4pxactive | recurrence | relapse | inactive | remission | resolved
(
)
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Condition.verificationStatus : The verification status to support the clinical status
of the condition.
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solid; padding:0px 4px 0px 4pxunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
(
)
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padding:0px 4px 0px 4pxproblem-list-item | encounter-diagnosis
(
To be conformant, the concept in this element SHALL be from the specified value set if
any of the codes within the value set can apply to the concept being communicated. If
the value set does not cover the concept (based on human review), alternate codings (or,
data type allowing, text) may be included instead.)
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Condition.severity : A subjective assessment of the severity of the condition as evaluated
by the clinician.
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vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxSubjective severity of condition
(
Instances are encouraged to draw from the specified codes for interoperability purposes
but are not required to do so to be considered conformant.)
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxIdentification of the condition, problem or diagnosis
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxAnatomical location, if relevant
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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Condition.subject : Indicates the patient or group who the condition record is associated
with.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
|
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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Condition.encounter : The Encounter during which this Condition was created or to which
the creation of this record is tightly associated.
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
(
)
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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Condition.onset[x] : Estimated or actual date or date-time the condition began, in the
opinion of the clinician.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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A date, date-time or partial date (e.g. just year or year + month). If hours and minutes
are specified, a time zone SHALL be populated. The format is a union of the schema types
gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
but may be zero-filled and may be ignored. Dates SHALL be valid dates.
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solid; padding:0px 4px 0px 4px
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Condition.abatement[x] : 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.
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A date, date-time or partial date (e.g. just year or year + month). If hours and minutes
are specified, a time zone SHALL be populated. The format is a union of the schema types
gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
but may be zero-filled and may be ignored. Dates SHALL be valid dates.
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Condition.recordedDate : The recordedDate represents when this particular Condition record
was created in the system, which is often a system-generated date.
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Condition.recorder : Individual who recorded the record and takes responsibility for its
content.
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(
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Condition.stage : Clinical stage or grade of a condition. May include formal severity
assessments.
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Condition.stage.summary : A simple summary of the stage such as "Stage 3". The
determination of the stage is disease-specific.
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padding:0px 4px 0px 4pxSimple summary (disease specific)
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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Condition.stage.assessment : Reference to a formal record of the evidence on which the
staging assessment is based.
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(
|
|
)
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solid; padding:0px 4px 0px 4pxFormal record of assessment
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padding:0px 4px 0px 4pxKind of staging
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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Condition.evidence : Supporting evidence / manifestations that are the basis of the Condition's
verification status, such as evidence that confirmed or refuted the condition.
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Condition.evidence.code : A manifestation or symptom that led to the recording of this
condition.
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padding:0px 4px 0px 4pxManifestation/symptom
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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(
)
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solid; padding:0px 4px 0px 4pxSupporting information found elsewhere
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Condition.note : Additional information about the Condition. This is a general notes/comments
entry for description of the Condition, its diagnosis and prognosis.
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxAdditional information about the Condition
Documentation for this format
A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical
concept that has risen to a level of concern.
A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical
concept that has risen to a level of concern.
Most systems will expect a clinicalStatus to be valued for problem-list-items that are
managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis.
Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error
and category is problem-list-item
verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.
org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.
where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item')
.exists() implies clinicalStatus.empty().not()
not(exists(f:verificationStatus) and not(exists(f:verificationStatus/f:coding[f:system/@value='http:
//terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error']))
and exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-cate
gory' and f:code/@value='problem-list-item'])) or exists(f:clinicalStatus)
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condi
tion-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system
/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved',
'remission', 'inactive')])
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status'
and code='entered-in-error').empty() or clinicalStatus.empty()
not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/cond
ition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))
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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
nts().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(uri) = '#').exists()).not()).trace('unmatched',
id).empty()
not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
< 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|)
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
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.
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.
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.
This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies it's meaning or interpretation
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).
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.
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.
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.
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.
Containing new R4B resources within R4 resources may cause interoperability issues if
instances are shared with R4 systems
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
is SubscriptionTopic)
not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
f:SubscriptionStatus|f:SubscriptionTopic)
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
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.
This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
)). 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.
Allows identification of the condition as it is known by various participating systems
and in a way that remains consistent across servers.
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.
This element is labeled as a modifier because the status contains codes that mark the
condition as no longer active.
Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus",
moodCode=EVN].value
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.
This element is labeled as a modifier because the status contains the code refuted and
entered-in-error that mark the Condition as not currently valid.
The verification status to support or decline the clinical status of the condition or
diagnosis.
Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus",
moodCode=EVN].value
The categorization is often highly contextual and may appear poorly differentiated or
not very useful in other contexts.
Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OB
S, moodCode=EVN, code="severity"].value
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|
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](extension-bodysite.html). May be a summary code, or a reference
to a very precise definition of the location, or both.
The Encounter during which this Condition was created or to which the creation of this
record is tightly associated.
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".
Age is generally used when the patient reports an age at which the Condition began to
occur.
.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN,
code="age at onset"].value
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.
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.
.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
The recordedDate represents when this particular Condition record was created in the system,
which is often a system-generated date.
./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"
;]
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
A simple summary of the stage such as "Stage 3". The determination of the stage
is disease-specific.
./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage
type"]
Supporting evidence / manifestations that are the basis of the Condition's verification
status, such as evidence that confirmed or refuted the condition.
The evidence may be a simple list of coded symptoms/manifestations, or references to observations
or formal assessments, or both.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Additional information about the Condition. This is a general notes/comments entry for
description of the Condition, its diagnosis and prognosis.
.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"]
.value
A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical
concept that has risen to a level of concern.
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status'
and code='entered-in-error').empty() or clinicalStatus.empty()
not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/cond
ition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condi
tion-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system
/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved',
'remission', 'inactive')])
Most systems will expect a clinicalStatus to be valued for problem-list-items that are
managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis.
Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error
and category is problem-list-item
verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.
org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.
where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item')
.exists() implies clinicalStatus.empty().not()
not(exists(f:verificationStatus) and not(exists(f:verificationStatus/f:coding[f:system/@value='http:
//terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error']))
and exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-cate
gory' and f:code/@value='problem-list-item'])) or exists(f:clinicalStatus)
< 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|)
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.
This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
)). 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.
Allows identification of the condition as it is known by various participating systems
and in a way that remains consistent across servers.
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.
This element is labeled as a modifier because the status contains codes that mark the
condition as no longer active.
Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus",
moodCode=EVN].value
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.
This element is labeled as a modifier because the status contains the code refuted and
entered-in-error that mark the Condition as not currently valid.
The verification status to support or decline the clinical status of the condition or
diagnosis.
Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus",
moodCode=EVN].value
The categorization is often highly contextual and may appear poorly differentiated or
not very useful in other contexts.
Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OB
S, moodCode=EVN, code="severity"].value
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|
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](extension-bodysite.html). May be a summary code, or a reference
to a very precise definition of the location, or both.
The Encounter during which this Condition was created or to which the creation of this
record is tightly associated.
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".
Age is generally used when the patient reports an age at which the Condition began to
occur.
.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN,
code="age at onset"].value
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.
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.
.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
The recordedDate represents when this particular Condition record was created in the system,
which is often a system-generated date.
./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"
;]
A simple summary of the stage such as "Stage 3". The determination of the stage
is disease-specific.
./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage
type"]
Supporting evidence / manifestations that are the basis of the Condition's verification
status, such as evidence that confirmed or refuted the condition.
The evidence may be a simple list of coded symptoms/manifestations, or references to observations
or formal assessments, or both.
Additional information about the Condition. This is a general notes/comments entry for
description of the Condition, its diagnosis and prognosis.
.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"]
.value
<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="Condition"/> <meta> <lastUpdated value="2023-03-01T23:03:57.298+11:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
top;">
<tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
top">
<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> </th> <th class="hierarchy" style="width: 100px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a> <span style="float: right"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M
MKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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GQBu0D74PkoHkoBnIHvjfkO9AGABmDHCjFWgH8i7kPQh9yEeYH4DfLhBJgA2A7BBQJ9uwXWY3rhJqFo1AaiB1CBngwKZQc
qAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>
<span title="Condition : A clinical condition, problem, diagnosis, or other event, situation,
issue, or clinical concept that has risen to a level of concern.">Condition</span>
<a name="Condition"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="domainresource.html">DomainResource</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Detailed information about conditions, problems or diagnoses
<br/> <span style="font-style: italic" title="con-2">+ Warning: If category is problems list item, the clinicalStatus should not be
unknown</span>
<br/> <span style="font-style: italic" title="con-3">+ Rule: If condition is abated, then clinicalStatus must be either inactive, resolved,
or remission.</span>
<br/> <br/> Elements defined in Ancestors: <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes.">id</a> ,
<a href="resource.html#Resource" title="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.">meta</a> ,
<a href="resource.html#Resource" title="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.">implicitRules</a> ,
<a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , <a href="domainresource.html#DomainResource" title="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.">text</a> ,
<a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning.">contained</a> ,
<a href="domainresource.html#DomainResource" title="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 managable, 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.">extension</a> ,
<a href="domainresource.html#DomainResource" title="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 managable, 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).">modifierExtension</a>
</td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
jY/DQkad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF
/369M2vdaqHRPz58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfX
Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="Condition.identifier : 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.">identifier</span>
<a name="Condition.identifier"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Identifier">Identifier</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">External Ids for this condition
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>
<span title="Condition.clinicalStatus : The clinical status of the condition.">clinicalStatus</span> <a name="Condition.clinicalStatus"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">active | recurrence | relapse | inactive | remission | resolved | unknown
<br/> Binding: <a href="valueset-condition-clinical.html">Condition Clinical Status Codes</a> ( <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
set.">Required</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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/369M2vdaqHRPz58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfX
Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
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oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="Condition.verificationStatus : The verification status to support the clinical
status of the condition. The verification status pertains to the condition, itself,
not to any specific condition attribute.">verificationStatus</span>
<a name="Condition.verificationStatus"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
<br/> Binding: <a href="valueset-condition-ver-status.html">Condition Verification Status</a> ( <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
set.">Required</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
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oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>
<span title="Condition.category : A category assigned to the condition.">category</span> <a name="Condition.category"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">problem-list-item | encounter-diagnosis
<br/> Binding: <a href="valueset-condition-category.html">Condition Category Codes</a> ( <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
purposes but are not required to do so to be considered conformant.">Preferred</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
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Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
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oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="Condition.severity : A subjective assessment of the severity of the condition as
evaluated by the clinician.">severity</span>
<a name="Condition.severity"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Subjective severity of condition
<br/> Binding: <a href="valueset-condition-severity.html">Condition/Diagnosis Severity</a> ( <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
purposes but are not required to do so to be considered conformant.">Preferred</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>
<span title="Condition.code : Identification of the condition, problem or diagnosis.">code</span> <a name="Condition.code"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Identification of the condition, problem or diagnosis
<br/> Binding: <a href="valueset-condition-code.html">Condition/Problem/Diagnosis Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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/369M2vdaqHRPz58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfX
Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
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oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="Condition.bodySite : The anatomical location where this condition manifests itself.">bodySite</span> <a name="Condition.bodySite"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Anatomical location, if relevant
<br/> Binding: <a href="valueset-body-site.html">SNOMED CT Body Structures</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>
<span title="Condition.subject : Indicates the patient or group who the condition record is
associated with.">subject</span>
<a name="Condition.subject"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="patient.html">Patient</a> | <a href="group.html">Group</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Who has the condition?
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="Condition.encounter : The Encounter during which this Condition was created or
to which the creation of this record is tightly associated.">encounter</span>
<a name="Condition.encounter"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="encounter.html">Encounter</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">The Encounter during which this Condition was created
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<span title="Condition.onset[x] : Estimated or actual date or date-time the condition began,
in the opinion of the clinician.">onset[x]</span>
<a name="Condition.onset_x_"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Estimated or actual date, date-time, or age
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="A date, date-time or partial date (e.g. just year or year + month). If hours and
minutes are specified, a UTC offset SHALL be populated. The format is a union of
the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
due to schema type constraints but may be zero-filled and may be ignored.
Dates SHALL be valid dates.">onsetDateTime</span>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<a href="datatypes.html#dateTime">dateTime</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="A duration of time during which an organism (or a process) has existed.">onsetAge</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Age">Age</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<span title="A time period defined by a start and end date and optionally time.">onsetPeriod</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<a href="datatypes.html#Period">Period</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<span title="A set of ordered Quantities defined by a low and high limit.">onsetRange</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<a href="datatypes.html#Range">Range</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<span title="A sequence of Unicode characters">onsetString</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<a href="datatypes.html#string">string</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<span title="Condition.abatement[x] : 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"
- Some conditions, such as chronic conditions, are never really resolved, but they
can abate.">abatement[x]</span>
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<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">When in resolution/remission
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<span title="A date, date-time or partial date (e.g. just year or year + month). If hours and
minutes are specified, a UTC offset SHALL be populated. The format is a union of
the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
due to schema type constraints but may be zero-filled and may be ignored.
Dates SHALL be valid dates.">abatementDateTime</span>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<a href="datatypes.html#dateTime">dateTime</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<span title="A duration of time during which an organism (or a process) has existed.">abatementAge</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Age">Age</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<span title="A time period defined by a start and end date and optionally time.">abatementPeriod</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Period">Period</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="A set of ordered Quantities defined by a low and high limit.">abatementRange</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Range">Range</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="A sequence of Unicode characters">abatementString</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#string">string</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="Condition.recordedDate : The recordedDate represents when this particular Condition
record was created in the system, which is often a system-generated date.">recordedDate</span>
<a name="Condition.recordedDate"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#dateTime">dateTime</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Date condition was first recorded
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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<span title="Condition.participant : Indicates who or what participated in the activities related
to the condition and how they were involved.">participant</span>
<a name="Condition.participant"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="types.html#BackBoneElement">BackboneElement</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Who or what participated in the activities related to the condition and how they
were involved
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="Condition.participant.function : Distinguishes the type of involvement of the actor
in the activities related to the condition.">function</span>
<a name="Condition.participant.function"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Type of involvement
<br/> Binding: <a href="valueset-participation-role-type.html">Participation Role Type</a> ( <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
set if any of the codes within the value set can apply to the concept being communicated.
If the value set does not cover the concept (based on human review), alternate
codings (or, data type allowing, text) may be included instead.">Extensible</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="Condition.participant.actor : Indicates who or what participated in the activities
related to the condition.">actor</span>
<a name="Condition.participant.actor"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="device.html">Device</a> | <a href="organization.html">Organization</a> | <a href="careteam.html">CareTeam</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Who or what participated in the activities related to the condition
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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<span title="Condition.stage : A simple summary of the stage such as "Stage 3" or
"Early Onset". The determination of the stage is disease-specific, such
as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson
disease.">stage</span>
<a name="Condition.stage"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
<a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="types.html#BackBoneElement">BackboneElement</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Stage/grade, usually assessed formally
<br/> <span style="font-style: italic" title="con-1">+ Rule: Stage SHALL have summary or assessment</span> <br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="Condition.stage.summary : A simple summary of the stage such as "Stage 3"
or "Early Onset". The determination of the stage is disease-specific,
such as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson
disease.">summary</span>
<a name="Condition.stage.summary"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Simple summary (disease specific)
<br/> Binding: <a href="valueset-condition-stage.html">Condition Stage</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="Condition.stage.assessment : Reference to a formal record of the evidence on which
the staging assessment is based.">assessment</span>
<a name="Condition.stage.assessment"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="clinicalimpression.html">ClinicalImpression</a> | <a href="diagnosticreport.html">DiagnosticReport</a> | <a href="observation.html">Observation</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Formal record of assessment
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
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<span title="Condition.stage.type : The kind of staging, such as pathological or clinical staging.">type</span> <a name="Condition.stage.type"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Kind of staging
<br/> Binding: <a href="valueset-condition-stage-type.html">Condition Stage Type</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
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6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>
<span title="Condition.evidence : Supporting evidence / manifestations that are the basis of
the Condition's verification status, such as evidence that confirmed or refuted
the condition.">evidence</span>
<a name="Condition.evidence"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#CodeableReference">CodeableReference</a> ( <a href="resourcelist.html">Any</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Supporting evidence for the verification status
<br/> Binding: <a href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
jY/DQkad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF
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Ri+bFhLWUVv379/rnwPvszv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjt
PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="Condition.note : Additional information about the Condition. This is a general
notes/comments entry for description of the Condition, its diagnosis and prognosis.">note</span>
<a name="Condition.note"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Annotation">Annotation</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Additional information about the Condition
<br/> <br/> </td> </tr> <tr> <td class="hierarchy" colspan="5"> <br/> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format </a> </td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"> <valueString value="Clinical.Summary"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="3"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"> <valueCode value="patient"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="pc"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/Condition"/> <version value="5.0.0-draft-final"/> <name value="Condition"/> <status value="draft"/> <experimental value="false"/> <date value="2023-03-01T23:03:57+11:00"/> <publisher value="Health Level Seven International (Patient Care)"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> </telecom> </contact> <description value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
clinical concept that has risen to a level of concern."/>
<jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="5.0.0-draft-final"/> <mapping> <identity value="sct-concept"/> <uri value="http://snomed.info/conceptdomain"/> <name value="SNOMED CT Concept Domain Binding"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 V2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="sct-attr"/> <uri value="http://snomed.org/attributebinding"/> <name value="SNOMED CT Attribute Binding"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Condition"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> <derivation value="specialization"/> <snapshot> <element id="Condition"> <path value="Condition"/> <short value="Detailed information about conditions, problems or diagnoses"/> <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
clinical concept that has risen to a level of concern."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="con-2"/> <severity value="warning"/> <human value="If category is problems list item, the clinicalStatus should not be unknown"/> <expression value="category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category'
and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://ter
minology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="con-3"/> <severity value="error"/> <human value="If condition is abated, then clinicalStatus must be either inactive, resolved,
or remission."/>
<expression value="abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/Co
deSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exi
sts())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/>
<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical)
= '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat
ched', id).empty()"/>
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
or a meta.lastUpdated"/>
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
display the resource to a human safely. Including a human readable representation
in the resource makes for a much more robust eco-system and cheaper handling of
resources by intermediary systems. Some ecosystems restrict distribution of resources
to only those systems that do fully understand the resources, and as a consequence
implementers may believe that the narrative is superfluous. However experience
shows that such eco-systems often open up to new participants over time."/>
</extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 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|)"/>
</mapping> <mapping> <identity value="v2"/> <map value="PPR message"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Condition.id"> <path value="Condition.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes."/>
<comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
for cases like the create and conditional update. Otherwise, the use of the resouce
id depends on the given use case."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Condition.meta"> <path value="Condition.meta"/> <short value="Metadata about the resource"/> <definition value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Condition.implicitRules"> <path value="Condition.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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."/>
<comment value="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 its narrative along with other profiles,
value sets, etc."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/> </element> <element id="Condition.language"> <path value="Condition.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </additional> </binding> </element> <element id="Condition.text"> <path value="Condition.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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."/>
<comment value="Contained resources do not have a 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."/>
<alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Condition.contained"> <path value="Condition.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning."/>
<comment value="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."/>
<alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.extension"> <path value="Condition.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.modifierExtension"> <path value="Condition.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
resource that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.identifier"> <path value="Condition.identifier"/> <short value="External Ids for this condition"/> <definition value="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."/>
<comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden
tifiers)). 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."/>
<requirements value="Allows identification of the condition as it is known by various participating
systems and in a way that remains consistent across servers."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <short value="active | recurrence | relapse | inactive | remission | resolved | unknown"/> <definition value="The clinical status of the condition."/> <comment value="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.
clinicalStatus is required since it is a modifier element. For conditions that
are problems list items, the clinicalStatus should not be unknown. For conditions
that are not problem list items, the clinicalStatus may be unknown. For example,
conditions derived from a claim are point in time, so those conditions may have
a clinicalStatus of unknown"/>
<min value="1"/> <max value="1"/> <base> <path value="Condition.clinicalStatus"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="con-3"/> <condition value="con-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains codes that mark
the condition as no longer active."/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionClinicalStatus"/> </extension> <strength value="required"/> <description value="The clinical status of the condition or diagnosis."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0-draft-final"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 303105007 |Disease phases|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus",
moodCode=EVN].value"/>
</mapping> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <short value="unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"/> <definition value="The verification status to support the clinical status of the condition. The verification
status pertains to the condition, itself, not to any specific condition attribute."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.verificationStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains the code refuted
and entered-in-error that mark the Condition as not currently valid."/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionVerificationStatus"/> </extension> <strength value="required"/> <description value="The verification status to support or decline the clinical status of the condition
or diagnosis."/>
<valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 410514004 |Finding context value|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-13"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus"
, moodCode=EVN].value"/>
</mapping> <mapping> <identity value="sct-attr"/> <map value="408729009"/> </mapping> </element> <element id="Condition.category"> <path value="Condition.category"/> <short value="problem-list-item | encounter-diagnosis"/> <definition value="A category assigned to the condition."/> <comment value="The categorization is often highly contextual and may appear poorly differentiated
or not very useful in other contexts."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="con-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="preferred"/> <description value="A category assigned to the condition."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 404684003 |Clinical finding|"/> </mapping> <mapping> <identity value="v2"/> <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Condition.severity"> <path value="Condition.severity"/> <short value="Subjective severity of condition"/> <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> <comment value="Coding of the severity with a terminology is preferred, where possible."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.severity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionSeverity"/> </extension> <strength value="preferred"/> <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.grade"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 272141005 |Severities|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-26 / ABS-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[class
Code=OBS, moodCode=EVN, code="severity"].value"/>
</mapping> <mapping> <identity value="sct-attr"/> <map value="246112005"/> </mapping> </element> <element id="Condition.code"> <path value="Condition.code"/> <short value="Identification of the condition, problem or diagnosis"/> <definition value="Identification of the condition, problem or diagnosis."/> <requirements value="0..1 to account for primarily narrative only resources."/> <alias value="type"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionKind"/> </extension> <strength value="example"/> <description value="Identification of the condition or diagnosis."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="(< 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 < 413350009 |Finding with explicit context|
OR < 272379006 |Event|"/>
</mapping> <mapping> <identity value="v2"/> <map value="PRB-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="246090004"/> </mapping> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite"/> <short value="Anatomical location, if relevant"/> <definition value="The anatomical location where this condition manifests itself."/> <comment value="Only used if not implicit in code found in Condition.code. If the use case requires
attributes from the BodyStructure resource (e.g. to identify and track separately)
then use the standard extension [http://hl7.org/fhir/StructureDefinition/bodySite](http://hl7
.org/fhir/extensions/StructureDefinition-bodySite.html). May be a summary code,
or a reference to a very precise definition of the location, or both."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="SNOMED CT Body site concepts"/> <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 442083009 |Anatomical or acquired body structure|"/> </mapping> <mapping> <identity value="rim"/> <map value=".targetBodySiteCode"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="363698007"/> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <short value="Who has the condition?"/> <definition value="Indicates the patient or group who the condition record is associated with."/> <requirements value="Group is typically used for veterinary or public health use cases."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="Condition.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="Condition.encounter"> <path value="Condition.encounter"/> <short value="The Encounter during which this Condition was created"/> <definition value="The Encounter during which this Condition was created or to which the creation
of this record is tightly associated."/>
<comment value="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"."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 (+PV1-54)"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]"/> <short value="Estimated or actual date, date-time, or age"/> <definition value="Estimated or actual date or date-time the condition began, in the opinion of the
clinician."/>
<comment value="Age is generally used when the patient reports an age at which the Condition began
to occur. Period is generally used to convey an imprecise onset that occurred
within the time period. For example, Period is not intended to convey the transition
period before the chronic bronchitis or COPD condition was diagnosed, but Period
can be used to convey an imprecise diagnosis date. Range is generally used to
convey an imprecise age range (e.g. 4 to 6 years old). Because a Condition.code
can represent multiple levels of granularity and can be modified over time, the
onset and abatement dates can have ambiguity whether those dates apply to the current
Condition.code or an earlier representation of that Condition.code. For example,
if the Condition.code was initially documented as severe asthma, then it is ambiguous
whether the onset and abatement dates apply to asthma (overall in that subject's
lifetime) or when asthma transitioned to become severe."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.onset[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.init"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-16"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
moodCode=EVN, code="age at onset"].value"/>
</mapping> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <short value="When in resolution/remission"/> <definition value="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" - Some conditions,
such as chronic conditions, are never really resolved, but they can abate."/>
<comment value="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.
Because a Condition.code can represent multiple levels of granularity and can be
modified over time, the onset and abatement dates can have ambiguity whether those
dates apply to the current Condition.code or an earlier representation of that
Condition.code. For example, if the Condition.code was initially documented as
severe asthma, then it is ambiguous whether the onset and abatement dates apply
to asthma (overall in that subject's lifetime) or when asthma transitioned to become
severe."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.abatement[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <condition value="con-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".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"/>
</mapping> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate"/> <short value="Date condition was first recorded"/> <definition value="The recordedDate represents when this particular Condition record was created in
the system, which is often a system-generated date."/>
<comment value="When onset date is unknown, recordedDate can be used to establish if the condition
was present on or before a given date. If the recordedDate is known and provided
by a sending system, it is preferred that the receiving system preserve that recordedDate
value. If the recordedDate is not provided by the sending system, the receipt timestamp
is sometimes used as the recordedDate."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.recordedDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-11"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="Condition.participant"> <path value="Condition.participant"/> <short value="Who or what participated in the activities related to the condition and how they
were involved"/>
<definition value="Indicates who or what participated in the activities related to the condition and
how they were involved."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="Condition.participant.id"> <path value="Condition.participant.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.participant.extension"> <path value="Condition.participant.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.participant.modifierExtension"> <path value="Condition.participant.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.participant.function"> <path value="Condition.participant.function"/> <short value="Type of involvement"/> <definition value="Distinguishes the type of involvement of the actor in the activities related to
the condition."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.participant.function"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionParticipantFunction"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> </binding> <mapping> <identity value="rim"/> <map value=".participation.functionCode"/> </mapping> </element> <element id="Condition.participant.actor"> <path value="Condition.participant.actor"/> <short value="Who or what participated in the activities related to the condition"/> <definition value="Indicates who or what participated in the activities related to the condition."/> <min value="1"/> <max value="1"/> <base> <path value="Condition.participant.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.who"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Condition.stage"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <path value="Condition.stage"/> <short value="Stage/grade, usually assessed formally"/> <definition value="A simple summary of the stage such as "Stage 3" or "Early Onset".
The determination of the stage is disease-specific, such as cancer, retinopathy
of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.stage"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="con-1"/> <severity value="error"/> <human value="Stage SHALL have summary or assessment"/> <expression value="summary.exists() or assessment.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/gra
de"]"/>
</mapping> </element> <element id="Condition.stage.id"> <path value="Condition.stage.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.extension"> <path value="Condition.stage.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.modifierExtension"> <path value="Condition.stage.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary"/> <short value="Simple summary (disease specific)"/> <definition value="A simple summary of the stage such as "Stage 3" or "Early Onset".
The determination of the stage is disease-specific, such as cancer, retinopathy
of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/>
<min value="0"/> <max value="1"/> <base> <path value="Condition.stage.summary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="con-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionStage"/> </extension> <strength value="example"/> <description value="Codes describing condition stages (e.g. Cancer stages)."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 254291000 |Staging and scales|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="Condition.stage.assessment"> <path value="Condition.stage.assessment"/> <short value="Formal record of assessment"/> <definition value="Reference to a formal record of the evidence on which the staging assessment is
based."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.stage.assessment"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <condition value="con-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </element> <element id="Condition.stage.type"> <path value="Condition.stage.type"/> <short value="Kind of staging"/> <definition value="The kind of staging, such as pathological or clinical staging."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.stage.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionStageType"/> </extension> <strength value="example"/> <description value="Codes describing the kind of condition staging (e.g. clinical or pathological)."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage-type"/> </binding> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage
type"]"/>
</mapping> </element> <element id="Condition.evidence"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <path value="Condition.evidence"/> <short value="Supporting evidence for the verification status"/> <definition value="Supporting evidence / manifestations that are the basis of the Condition's verification
status, such as evidence that confirmed or refuted the condition."/>
<comment value="If the condition was confirmed, but subsequently refuted, then the evidence can
be cumulative including all evidence over time. The evidence may be a simple list
of coded symptoms/manifestations, or references to observations or formal assessments,
or both. For example, if the Condition.code is pneumonia, then there could be
an evidence list where Condition.evidence.concept = fever (CodeableConcept), Condition.eviden
ce.concept = cough (CodeableConcept), and Condition.evidence.reference = bronchitis
(reference to Condition). "/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.evidence"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ManifestationOrSymptom"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Condition.note"> <path value="Condition.note"/> <short value="Additional information about the Condition"/> <definition value="Additional information about the Condition. This is a general notes/comments entry
for description of the Condition, its diagnosis and prognosis."/>
<min value="0"/> <max value="*"/> <base> <path value="Condition.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="NTE child of PRB"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation
"].value"/>
</mapping> </element> </snapshot> <differential> <element id="Condition"> <path value="Condition"/> <short value="Detailed information about conditions, problems or diagnoses"/> <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or
clinical concept that has risen to a level of concern."/>
<min value="0"/> <max value="*"/> <constraint> <key value="con-2"/> <severity value="warning"/> <human value="If category is problems list item, the clinicalStatus should not be unknown"/> <expression value="category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category'
and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://ter
minology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="con-3"/> <severity value="error"/> <human value="If condition is abated, then clinicalStatus must be either inactive, resolved,
or remission."/>
<expression value="abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/Co
deSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exi
sts())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="sct-concept"/> <map value="< 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|)"/>
</mapping> <mapping> <identity value="v2"/> <map value="PPR message"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Condition.identifier"> <path value="Condition.identifier"/> <short value="External Ids for this condition"/> <definition value="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."/>
<comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden
tifiers)). 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."/>
<requirements value="Allows identification of the condition as it is known by various participating
systems and in a way that remains consistent across servers."/>
<min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <short value="active | recurrence | relapse | inactive | remission | resolved | unknown"/> <definition value="The clinical status of the condition."/> <comment value="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.
clinicalStatus is required since it is a modifier element. For conditions that
are problems list items, the clinicalStatus should not be unknown. For conditions
that are not problem list items, the clinicalStatus may be unknown. For example,
conditions derived from a claim are point in time, so those conditions may have
a clinicalStatus of unknown"/>
<min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <condition value="con-3"/> <condition value="con-2"/> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains codes that mark
the condition as no longer active."/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionClinicalStatus"/> </extension> <strength value="required"/> <description value="The clinical status of the condition or diagnosis."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0-draft-final"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 303105007 |Disease phases|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus",
moodCode=EVN].value"/>
</mapping> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <short value="unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"/> <definition value="The verification status to support the clinical status of the condition. The verification
status pertains to the condition, itself, not to any specific condition attribute."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains the code refuted
and entered-in-error that mark the Condition as not currently valid."/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionVerificationStatus"/> </extension> <strength value="required"/> <description value="The verification status to support or decline the clinical status of the condition
or diagnosis."/>
<valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 410514004 |Finding context value|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-13"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus"
, moodCode=EVN].value"/>
</mapping> <mapping> <identity value="sct-attr"/> <map value="408729009"/> </mapping> </element> <element id="Condition.category"> <path value="Condition.category"/> <short value="problem-list-item | encounter-diagnosis"/> <definition value="A category assigned to the condition."/> <comment value="The categorization is often highly contextual and may appear poorly differentiated
or not very useful in other contexts."/>
<min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <condition value="con-2"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="preferred"/> <description value="A category assigned to the condition."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 404684003 |Clinical finding|"/> </mapping> <mapping> <identity value="v2"/> <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Condition.severity"> <path value="Condition.severity"/> <short value="Subjective severity of condition"/> <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> <comment value="Coding of the severity with a terminology is preferred, where possible."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionSeverity"/> </extension> <strength value="preferred"/> <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.grade"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 272141005 |Severities|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-26 / ABS-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[class
Code=OBS, moodCode=EVN, code="severity"].value"/>
</mapping> <mapping> <identity value="sct-attr"/> <map value="246112005"/> </mapping> </element> <element id="Condition.code"> <path value="Condition.code"/> <short value="Identification of the condition, problem or diagnosis"/> <definition value="Identification of the condition, problem or diagnosis."/> <requirements value="0..1 to account for primarily narrative only resources."/> <alias value="type"/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionKind"/> </extension> <strength value="example"/> <description value="Identification of the condition or diagnosis."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="(< 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 < 413350009 |Finding with explicit context|
OR < 272379006 |Event|"/>
</mapping> <mapping> <identity value="v2"/> <map value="PRB-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="246090004"/> </mapping> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite"/> <short value="Anatomical location, if relevant"/> <definition value="The anatomical location where this condition manifests itself."/> <comment value="Only used if not implicit in code found in Condition.code. If the use case requires
attributes from the BodyStructure resource (e.g. to identify and track separately)
then use the standard extension [http://hl7.org/fhir/StructureDefinition/bodySite](http://hl7
.org/fhir/extensions/StructureDefinition-bodySite.html). May be a summary code,
or a reference to a very precise definition of the location, or both."/>
<min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="SNOMED CT Body site concepts"/> <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 442083009 |Anatomical or acquired body structure|"/> </mapping> <mapping> <identity value="rim"/> <map value=".targetBodySiteCode"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="363698007"/> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <short value="Who has the condition?"/> <definition value="Indicates the patient or group who the condition record is associated with."/> <requirements value="Group is typically used for veterinary or public health use cases."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="Condition.encounter"> <path value="Condition.encounter"/> <short value="The Encounter during which this Condition was created"/> <definition value="The Encounter during which this Condition was created or to which the creation
of this record is tightly associated."/>
<comment value="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"."/>
<min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 (+PV1-54)"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]"/> <short value="Estimated or actual date, date-time, or age"/> <definition value="Estimated or actual date or date-time the condition began, in the opinion of the
clinician."/>
<comment value="Age is generally used when the patient reports an age at which the Condition began
to occur. Period is generally used to convey an imprecise onset that occurred
within the time period. For example, Period is not intended to convey the transition
period before the chronic bronchitis or COPD condition was diagnosed, but Period
can be used to convey an imprecise diagnosis date. Range is generally used to
convey an imprecise age range (e.g. 4 to 6 years old). Because a Condition.code
can represent multiple levels of granularity and can be modified over time, the
onset and abatement dates can have ambiguity whether those dates apply to the current
Condition.code or an earlier representation of that Condition.code. For example,
if the Condition.code was initially documented as severe asthma, then it is ambiguous
whether the onset and abatement dates apply to asthma (overall in that subject's
lifetime) or when asthma transitioned to become severe."/>
<min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.init"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-16"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS,
moodCode=EVN, code="age at onset"].value"/>
</mapping> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <short value="When in resolution/remission"/> <definition value="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" - Some conditions,
such as chronic conditions, are never really resolved, but they can abate."/>
<comment value="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.
Because a Condition.code can represent multiple levels of granularity and can be
modified over time, the onset and abatement dates can have ambiguity whether those
dates apply to the current Condition.code or an earlier representation of that
Condition.code. For example, if the Condition.code was initially documented as
severe asthma, then it is ambiguous whether the onset and abatement dates apply
to asthma (overall in that subject's lifetime) or when asthma transitioned to become
severe."/>
<min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <condition value="con-3"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".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"/>
</mapping> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate"/> <short value="Date condition was first recorded"/> <definition value="The recordedDate represents when this particular Condition record was created in
the system, which is often a system-generated date."/>
<comment value="When onset date is unknown, recordedDate can be used to establish if the condition
was present on or before a given date. If the recordedDate is known and provided
by a sending system, it is preferred that the receiving system preserve that recordedDate
value. If the recordedDate is not provided by the sending system, the receipt timestamp
is sometimes used as the recordedDate."/>
<min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-11"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="Condition.participant"> <path value="Condition.participant"/> <short value="Who or what participated in the activities related to the condition and how they
were involved"/>
<definition value="Indicates who or what participated in the activities related to the condition and
how they were involved."/>
<min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="Condition.participant.function"> <path value="Condition.participant.function"/> <short value="Type of involvement"/> <definition value="Distinguishes the type of involvement of the actor in the activities related to
the condition."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionParticipantFunction"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> </binding> <mapping> <identity value="rim"/> <map value=".participation.functionCode"/> </mapping> </element> <element id="Condition.participant.actor"> <path value="Condition.participant.actor"/> <short value="Who or what participated in the activities related to the condition"/> <definition value="Indicates who or what participated in the activities related to the condition."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.who"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="Condition.stage"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <path value="Condition.stage"/> <short value="Stage/grade, usually assessed formally"/> <definition value="A simple summary of the stage such as "Stage 3" or "Early Onset".
The determination of the stage is disease-specific, such as cancer, retinopathy
of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/>
<min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <constraint> <key value="con-1"/> <severity value="error"/> <human value="Stage SHALL have summary or assessment"/> <expression value="summary.exists() or assessment.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/gra
de"]"/>
</mapping> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary"/> <short value="Simple summary (disease specific)"/> <definition value="A simple summary of the stage such as "Stage 3" or "Early Onset".
The determination of the stage is disease-specific, such as cancer, retinopathy
of prematurity, kidney diseases, Alzheimer's, or Parkinson disease."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <condition value="con-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionStage"/> </extension> <strength value="example"/> <description value="Codes describing condition stages (e.g. Cancer stages)."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 254291000 |Staging and scales|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="Condition.stage.assessment"> <path value="Condition.stage.assessment"/> <short value="Formal record of assessment"/> <definition value="Reference to a formal record of the evidence on which the staging assessment is
based."/>
<min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <condition value="con-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </element> <element id="Condition.stage.type"> <path value="Condition.stage.type"/> <short value="Kind of staging"/> <definition value="The kind of staging, such as pathological or clinical staging."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionStageType"/> </extension> <strength value="example"/> <description value="Codes describing the kind of condition staging (e.g. clinical or pathological)."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage-type"/> </binding> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage
type"]"/>
</mapping> </element> <element id="Condition.evidence"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <path value="Condition.evidence"/> <short value="Supporting evidence for the verification status"/> <definition value="Supporting evidence / manifestations that are the basis of the Condition's verification
status, such as evidence that confirmed or refuted the condition."/>
<comment value="If the condition was confirmed, but subsequently refuted, then the evidence can
be cumulative including all evidence over time. The evidence may be a simple list
of coded symptoms/manifestations, or references to observations or formal assessments,
or both. For example, if the Condition.code is pneumonia, then there could be
an evidence list where Condition.evidence.concept = fever (CodeableConcept), Condition.eviden
ce.concept = cough (CodeableConcept), and Condition.evidence.reference = bronchitis
(reference to Condition). "/>
<min value="0"/> <max value="*"/> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ManifestationOrSymptom"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Condition.note"> <path value="Condition.note"/> <short value="Additional information about the Condition"/> <definition value="Additional information about the Condition. This is a general notes/comments entry
for description of the Condition, its diagnosis and prognosis."/>
<min value="0"/> <max value="*"/> <type> <code value="Annotation"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="NTE child of PRB"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation
"].value"/>
</mapping> </element> </differential>
</
StructureDefinition
>
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.